The Value of Ultrasound With Ultrasound-Guided Fine-Needle Aspiration Biopsy Compared to Computed Tomography in the Detection of Regional Metastases in the Clinically Negative Neck

Takes, Robert P.; Righi, Paul D.; Meeuwis, Cees A.; Manni, Johannes J.; Knegt, P.; Marres, H.A.M.

doi:10.1016/s0360-3016(97)00953-x

Cited by 98 publications

(68 citation statements)

References 27 publications

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“…Therefore, US performed by an experienced ultrasonographer is considered, by most clinicians and by the American Thyroid Association, as the screening and surveillance imaging modality of choice for detecting LLNM 27. Although USgFNAC was showed to be the most specific and accurate imaging modality to detect cervical LNM 25, most studies report that USgFNAC has a relatively lower sensitivity than US, and the false‐negative rate of USgFNAC could be as high as 45–52% 28, 29. In addition, given the closer relationship of the node to the surrounding vascular structures and the body habitus of the patient (such as some small nodes, which are not easily punctured by fine needle), routine preoperative USgFNAC is not done to guide LND at our institution.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for level V lymph node metastases in solitary papillary thyroid carcinoma with clinically lateral lymph node metastases

et al. 2016

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The extent of lateral neck dissection (LND) in surgical resection of papillary thyroid carcinoma (PTC) with clinically lateral LNM (LLNM) remains controversial. We aimed to explore the frequency of and risk factors for level V LNM in patients with solitary PTC and clinically LLNM. To analyze the frequency and risk factors for level V LNM, we retrospectively reviewed 220 solitary PTC patients who underwent total thyroidectomy, bilateral central neck dissection, and therapeutic LND. LLNM were present in 82.3% patients, and levels II–V LNM were present in 45.9%, 62.7%, 55.5%, and 12.3% patients, respectively. Ipsilateral level V LNM was significantly associated with tumor size >10 mm, extrathyroidal extension, ipsilateral central LNM ratio ≥50%, and contralateral central LNM (CLNM), bilateral CLNM, and simultaneous levels II–IV LNM. Contralateral CLNM was an independent risk factor for level V LNM. In patients with solitary PTC and clinically LLNM, level V LNM was relatively uncommon. Therefore, routine level V lymphadenectomy may be unnecessary in these patients unless level V LNM is suspected on preoperative examination or associated risk factors, especially contralateral CLNM, are present.

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Section: Discussionmentioning

confidence: 99%

Risk factors for level V lymph node metastases in solitary papillary thyroid carcinoma with clinically lateral lymph node metastases

et al. 2016

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“…Clinical findings can be supplemented by imaging techniques, but they too have fallen short of expectations. Ultrasound is an easily available; affordable but highly operator dependent tool [17] that has been advocated by some authors for guided FNAC to augment accuracy [18]. CT and MR mainly rely on the size of the node along with other criteria like necrosis to assess the nodal involvement but size in itself is not pathognomonic for involvement, with a high error rate if used as the sole criteria to establish involvement [19].…”

Section: Discussionmentioning

confidence: 99%

Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center

Deo

Shukla

Jha

et al. 2012

Indian J Surg Oncol

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Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients.

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“…Advances in imaging techniques such as CT, MR imaging, and sonography have improved the accuracy of detection of cervical lymph node metastases, but patients with N0 classification may still harbor occult metastases. The incidence of occult metastases varies from 20% to 50%, 1,2,[6][7][8][9][10] and the management of the clinically negative (N0) neck remains a controversial issue. Several studies have suggested that histologic tumor thickness is related to cervical metastases of oral tongue cancer.…”

mentioning

confidence: 99%

Tumor Thickness and Paralingual Distance of Coronal MR Imaging Predicts Cervical Node Metastases in Oral Tongue Carcinoma

Okura¹,

Iida

Aikawa

et al. 2007

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:The presence of cervical lymph node metastases is an important prognostic factor for oral tongue cancer. The accurate preoperative assessment is essential for treatment. Several studies have suggested that histologic tumor thickness is related to the metastases. The aim of this study was to determine whether MR images of oral tongue tumor have the potential to predict cervical lymph node metastases.

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The Value of Ultrasound With Ultrasound-Guided Fine-Needle Aspiration Biopsy Compared to Computed Tomography in the Detection of Regional Metastases in the Clinically Negative Neck

Cited by 98 publications

References 27 publications

Risk factors for level V lymph node metastases in solitary papillary thyroid carcinoma with clinically lateral lymph node metastases

Risk factors for level V lymph node metastases in solitary papillary thyroid carcinoma with clinically lateral lymph node metastases

Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center

Tumor Thickness and Paralingual Distance of Coronal MR Imaging Predicts Cervical Node Metastases in Oral Tongue Carcinoma

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