Indications and extent of central neck dissection for papillary thyroid cancer: An American Head and Neck Society Consensus Statement

ABSTRACT Background The primary purposes of this interdisciplinary consensus statement were to review the relevant indications for central neck dissection (CND) in patients with papillary thyroid cancer (PTC) and to outline the appropriate extent and relevant techniques required to accomplish a safe...

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Veröffentlicht in:Head & neck 2017-07, Vol.39 (7), p.1269-1279
Hauptverfasser: Agrawal, Nishant, Evasovich, Maria R., Kandil, Emad, Noureldine, Salem I., Felger, Erin A., Tufano, Ralph P., Kraus, Dennis H., Orloff, Lisa A., Grogan, Raymon, Angelos, Peter, Stack, Brendan C., McIver, Bryan, Randolph, Gregory W.
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container_end_page 1279
container_issue 7
container_start_page 1269
container_title Head & neck
container_volume 39
creator Agrawal, Nishant
Evasovich, Maria R.
Kandil, Emad
Noureldine, Salem I.
Felger, Erin A.
Tufano, Ralph P.
Kraus, Dennis H.
Orloff, Lisa A.
Grogan, Raymon
Angelos, Peter
Stack, Brendan C.
McIver, Bryan
Randolph, Gregory W.
description ABSTRACT Background The primary purposes of this interdisciplinary consensus statement were to review the relevant indications for central neck dissection (CND) in patients with papillary thyroid cancer (PTC) and to outline the appropriate extent and relevant techniques required to accomplish a safe and effective CND. Methods A writing group convened by the American Head and Neck Society (AHNS) Endocrine Committee was tasked with identifying the important clinical elements to consider when managing the central neck compartment in patients with PTC based on available evidence in the literature, and the group's collective experience. The position statement paper was then submitted to the full Endocrine Committee, Education Committee, and AHNS Council. Results This consensus statement was developed to inform the clinical decision‐making process when managing the central neck compartment in patients with PTC from the AHNS. This document is intended to provide clarity through definitions as well as a basic guideline from which to manage the central neck. It is our hope that this improves the quality and reduces variation in management of the central neck, facilitates communication, and furthers research for patients with thyroid cancer. Conclusion This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1269–1279, 2017
doi_str_mv 10.1002/hed.24715
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Methods A writing group convened by the American Head and Neck Society (AHNS) Endocrine Committee was tasked with identifying the important clinical elements to consider when managing the central neck compartment in patients with PTC based on available evidence in the literature, and the group's collective experience. The position statement paper was then submitted to the full Endocrine Committee, Education Committee, and AHNS Council. Results This consensus statement was developed to inform the clinical decision‐making process when managing the central neck compartment in patients with PTC from the AHNS. This document is intended to provide clarity through definitions as well as a basic guideline from which to manage the central neck. It is our hope that this improves the quality and reduces variation in management of the central neck, facilitates communication, and furthers research for patients with thyroid cancer. Conclusion This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. 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Methods A writing group convened by the American Head and Neck Society (AHNS) Endocrine Committee was tasked with identifying the important clinical elements to consider when managing the central neck compartment in patients with PTC based on available evidence in the literature, and the group's collective experience. The position statement paper was then submitted to the full Endocrine Committee, Education Committee, and AHNS Council. Results This consensus statement was developed to inform the clinical decision‐making process when managing the central neck compartment in patients with PTC from the AHNS. This document is intended to provide clarity through definitions as well as a basic guideline from which to manage the central neck. It is our hope that this improves the quality and reduces variation in management of the central neck, facilitates communication, and furthers research for patients with thyroid cancer. Conclusion This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. 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Methods A writing group convened by the American Head and Neck Society (AHNS) Endocrine Committee was tasked with identifying the important clinical elements to consider when managing the central neck compartment in patients with PTC based on available evidence in the literature, and the group's collective experience. The position statement paper was then submitted to the full Endocrine Committee, Education Committee, and AHNS Council. Results This consensus statement was developed to inform the clinical decision‐making process when managing the central neck compartment in patients with PTC from the AHNS. This document is intended to provide clarity through definitions as well as a basic guideline from which to manage the central neck. It is our hope that this improves the quality and reduces variation in management of the central neck, facilitates communication, and furthers research for patients with thyroid cancer. Conclusion This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1269–1279, 2017</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28449244</pmid><doi>10.1002/hed.24715</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Carcinoma, Papillary - pathology
Carcinoma, Papillary - surgery
central compartment
Consensus
Decision making
differentiated thyroid cancer
elective
extrathyroidal extension
Female
Head & neck cancer
Humans
lymph node dissection
Lymph Node Excision - methods
Lymph Node Excision - standards
lymph node metastases
Lymph Nodes - pathology
Male
Neck Dissection - methods
Neck Dissection - standards
Neoplasm Invasiveness - pathology
Neoplasm Staging
Papillary thyroid cancer
papillary thyroid cancer (PTC)
Practice Guidelines as Topic
Prognosis
prophylactic
Societies, Medical
therapeutic
Thyroid cancer
Thyroid Cancer, Papillary
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroidectomy - methods
United States
title Indications and extent of central neck dissection for papillary thyroid cancer: An American Head and Neck Society Consensus Statement
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