Thyroidectomy without lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases and negative intraoperative frozen section

Background The purpose of this study was to investigate the outcomes of patients with papillary thyroid cancer (PTC) with lateral neck metastasis according to their permanent pathology report but negative frozen section findings who did not undergo lateral neck dissection. Methods Between September...

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Veröffentlicht in:Head & neck 2016-02, Vol.38 (2), p.285-289
Hauptverfasser: Kim, Seok-Mo, Kim, Hyeung Kyoo, Kim, Kuk-Jin, Chang, Ho Jin, Kim, Bup-Woo, Lee, Yong Sang, Chang, Hang-Seok, Park, Cheong Soo
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container_end_page 289
container_issue 2
container_start_page 285
container_title Head & neck
container_volume 38
creator Kim, Seok-Mo
Kim, Hyeung Kyoo
Kim, Kuk-Jin
Chang, Ho Jin
Kim, Bup-Woo
Lee, Yong Sang
Chang, Hang-Seok
Park, Cheong Soo
description Background The purpose of this study was to investigate the outcomes of patients with papillary thyroid cancer (PTC) with lateral neck metastasis according to their permanent pathology report but negative frozen section findings who did not undergo lateral neck dissection. Methods Between September 2009 and December 2011, 575 patients at Gangnam Severance Hospital (Seoul, Korea) underwent frozen section analysis for a suspicious lateral neck lymph node. In 16 patients, the intraoperative findings were negative, but lateral neck metastasis was diagnosed on the basis of permanent pathology findings. The outcomes of these patients who underwent thyroidectomy but not lateral neck dissection were retrospectively investigated. Results One patient underwent a subsequent lateral neck dissection. After a mean (SD) follow‐up period of 42.1 (8.5) months, none of the patients had distant metastasis. Conclusion Total thyroidectomy with subsequent lateral neck dissection is not necessary in patients with PTC who are diagnosed with lateral neck metastasis according to their permanent pathology report but have negative intraoperative frozen section findings. © 2014 Wiley Periodicals, Inc. Head Neck 38: 285–289, 2016
doi_str_mv 10.1002/hed.23893
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Methods Between September 2009 and December 2011, 575 patients at Gangnam Severance Hospital (Seoul, Korea) underwent frozen section analysis for a suspicious lateral neck lymph node. In 16 patients, the intraoperative findings were negative, but lateral neck metastasis was diagnosed on the basis of permanent pathology findings. The outcomes of these patients who underwent thyroidectomy but not lateral neck dissection were retrospectively investigated. Results One patient underwent a subsequent lateral neck dissection. After a mean (SD) follow‐up period of 42.1 (8.5) months, none of the patients had distant metastasis. Conclusion Total thyroidectomy with subsequent lateral neck dissection is not necessary in patients with PTC who are diagnosed with lateral neck metastasis according to their permanent pathology report but have negative intraoperative frozen section findings. © 2014 Wiley Periodicals, Inc. Head Neck 38: 285–289, 2016</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.23893</identifier><identifier>PMID: 25327877</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Carcinoma, Papillary - pathology ; Carcinoma, Papillary - surgery ; cervical ; Female ; Follow-Up Studies ; Frozen Sections ; Humans ; Intraoperative Care ; lymph node ; Lymph Nodes - pathology ; Lymphatic Metastasis ; Male ; metastasis ; Middle Aged ; papillary thyroid carcinoma ; Retrospective Studies ; Thyroid Neoplasms - pathology ; Thyroid Neoplasms - surgery ; Thyroidectomy</subject><ispartof>Head &amp; neck, 2016-02, Vol.38 (2), p.285-289</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4273-fadcf9a114e218697eeab81ae312691877e4914d24b3d3f890375f08b34a76e43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.23893$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.23893$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25327877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Seok-Mo</creatorcontrib><creatorcontrib>Kim, Hyeung Kyoo</creatorcontrib><creatorcontrib>Kim, Kuk-Jin</creatorcontrib><creatorcontrib>Chang, Ho Jin</creatorcontrib><creatorcontrib>Kim, Bup-Woo</creatorcontrib><creatorcontrib>Lee, Yong Sang</creatorcontrib><creatorcontrib>Chang, Hang-Seok</creatorcontrib><creatorcontrib>Park, Cheong Soo</creatorcontrib><title>Thyroidectomy without lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases and negative intraoperative frozen section</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background The purpose of this study was to investigate the outcomes of patients with papillary thyroid cancer (PTC) with lateral neck metastasis according to their permanent pathology report but negative frozen section findings who did not undergo lateral neck dissection. Methods Between September 2009 and December 2011, 575 patients at Gangnam Severance Hospital (Seoul, Korea) underwent frozen section analysis for a suspicious lateral neck lymph node. In 16 patients, the intraoperative findings were negative, but lateral neck metastasis was diagnosed on the basis of permanent pathology findings. The outcomes of these patients who underwent thyroidectomy but not lateral neck dissection were retrospectively investigated. Results One patient underwent a subsequent lateral neck dissection. After a mean (SD) follow‐up period of 42.1 (8.5) months, none of the patients had distant metastasis. Conclusion Total thyroidectomy with subsequent lateral neck dissection is not necessary in patients with PTC who are diagnosed with lateral neck metastasis according to their permanent pathology report but have negative intraoperative frozen section findings. © 2014 Wiley Periodicals, Inc. Head Neck 38: 285–289, 2016</description><subject>Adult</subject><subject>Aged</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Carcinoma, Papillary - surgery</subject><subject>cervical</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Frozen Sections</subject><subject>Humans</subject><subject>Intraoperative Care</subject><subject>lymph node</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>metastasis</subject><subject>Middle Aged</subject><subject>papillary thyroid carcinoma</subject><subject>Retrospective Studies</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroidectomy</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1u1DAQgC0Eoj9w4AWQJS5c0toeb5wcYSm7oAKXIo6WN5mwbhM72A4lfRoeFXd3qQSSJY8132d7Zgh5wdkZZ0ycb7E9E1DV8Igcc1argoFUj-9jCQUwJY_ISYzXjDEopXhKjsQChKqUOia_r7Zz8LbFJvlhprc2bf2UaG8SBtNTh80NbW2MOW-9o50PdDSj7XsTZpr2Lm1MaKzzg9n5_8r9PIxb6nyLdMBkYl4YqXFtTn83yf5Eal0Kxo_Z2R274O_Q0cOTz8iTzvQRnx_2U_L1_cXVcl1cfll9WL65LBopFBSdaZuuNpxLFLwqa4VoNhU3CFyUNc-1oqy5bIXcQAtdVTNQi45VG5BGlSjhlLze3zsG_2PCmPRgY4O5UId-ipqrktVMSA4ZffUfeu2n4PLvMrWopBISqky9PFDTZsBWj8EOuWn6b-8zcL4Hbm2P80OeM30_VJ2HqndD1euLd7sgG8XesDHhrwfDhBtdqlyP_vZ5pcv1R1i-hU96BX8AV7KmZg</recordid><startdate>201602</startdate><enddate>201602</enddate><creator>Kim, Seok-Mo</creator><creator>Kim, Hyeung Kyoo</creator><creator>Kim, Kuk-Jin</creator><creator>Chang, Ho Jin</creator><creator>Kim, Bup-Woo</creator><creator>Lee, Yong Sang</creator><creator>Chang, Hang-Seok</creator><creator>Park, Cheong Soo</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201602</creationdate><title>Thyroidectomy without lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases and negative intraoperative frozen section</title><author>Kim, Seok-Mo ; 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Methods Between September 2009 and December 2011, 575 patients at Gangnam Severance Hospital (Seoul, Korea) underwent frozen section analysis for a suspicious lateral neck lymph node. In 16 patients, the intraoperative findings were negative, but lateral neck metastasis was diagnosed on the basis of permanent pathology findings. The outcomes of these patients who underwent thyroidectomy but not lateral neck dissection were retrospectively investigated. Results One patient underwent a subsequent lateral neck dissection. After a mean (SD) follow‐up period of 42.1 (8.5) months, none of the patients had distant metastasis. Conclusion Total thyroidectomy with subsequent lateral neck dissection is not necessary in patients with PTC who are diagnosed with lateral neck metastasis according to their permanent pathology report but have negative intraoperative frozen section findings. © 2014 Wiley Periodicals, Inc. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Carcinoma, Papillary - pathology
Carcinoma, Papillary - surgery
cervical
Female
Follow-Up Studies
Frozen Sections
Humans
Intraoperative Care
lymph node
Lymph Nodes - pathology
Lymphatic Metastasis
Male
metastasis
Middle Aged
papillary thyroid carcinoma
Retrospective Studies
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroidectomy
title Thyroidectomy without lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases and negative intraoperative frozen section
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