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 |
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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 |
format | Article |
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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><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 & 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 & 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 ; Kim, Hyeung Kyoo ; Kim, Kuk-Jin ; Chang, Ho Jin ; Kim, Bup-Woo ; Lee, Yong Sang ; Chang, Hang-Seok ; Park, Cheong Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4273-fadcf9a114e218697eeab81ae312691877e4914d24b3d3f890375f08b34a76e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Carcinoma, Papillary - surgery</topic><topic>cervical</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Frozen Sections</topic><topic>Humans</topic><topic>Intraoperative Care</topic><topic>lymph node</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>metastasis</topic><topic>Middle Aged</topic><topic>papillary thyroid carcinoma</topic><topic>Retrospective Studies</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Seok-Mo</au><au>Kim, Hyeung Kyoo</au><au>Kim, Kuk-Jin</au><au>Chang, Ho Jin</au><au>Kim, Bup-Woo</au><au>Lee, Yong Sang</au><au>Chang, Hang-Seok</au><au>Park, Cheong Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thyroidectomy without lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases and negative intraoperative frozen section</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2016-02</date><risdate>2016</risdate><volume>38</volume><issue>2</issue><spage>285</spage><epage>289</epage><pages>285-289</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>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</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25327877</pmid><doi>10.1002/hed.23893</doi><tpages>5</tpages></addata></record> |
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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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