Localization of Cervical Node Metastasis of Papillary Thyroid Carcinoma

. Precise localization of cervical node metastasis of papillary thyroid carcinoma is rarely described. The aim of this retrospective study was to map their cervical involvement. Between 1974 and 1996 a series of 119 patients had total thyroidectomy with bilateral cervical lymph node dissection. Pati...

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Veröffentlicht in:World journal of surgery 1999-09, Vol.23 (9), p.970-974
Hauptverfasser: Mirallié, Eric, Visset, Jacques, Sagan, Christine, Hamy, Antoine, Le Bodic, Marie‐Françoise, Paineau, Jacques
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container_end_page 974
container_issue 9
container_start_page 970
container_title World journal of surgery
container_volume 23
creator Mirallié, Eric
Visset, Jacques
Sagan, Christine
Hamy, Antoine
Le Bodic, Marie‐Françoise
Paineau, Jacques
description . Precise localization of cervical node metastasis of papillary thyroid carcinoma is rarely described. The aim of this retrospective study was to map their cervical involvement. Between 1974 and 1996 a series of 119 patients had total thyroidectomy with bilateral cervical lymph node dissection. Patients who had secondary node dissection for a cervical recurrence were excluded. Eight node sites were distinguished (ipsilateral and contralateral): paratracheal, mid‐jugular, supraclavicular, subdigastric. All pathologic specimens were reviewed by a single pathologist. Twenty‐five patients had lymph node involvement clinically before surgery. Seventy‐two (60.5%) had cervical metastasis (N+: node positive patients), with bilateral involvement in 28 cases. In cases of bilateral thyroid tumor localization, ipsilateral dissection designated the side with the largest nodule. The main ipsilateral involved sites were paratracheal (60 patients), mid‐jugular (44 patients), and supraclavicular (26 patients). Contralateral paratracheal nodes were involved in 25 patients and mid‐jugular nodes in 12. Among the N+ patients, node involvement was absent in 11 cases at paratracheal, 28 jugular, and 46 subclavicular sites. Cervical node metastases concerned 60.5% of the patients, with bilateral involvement in 40.8% of the N+ patients. Ipsilateral paratracheal and jugular sites were most frequently involved. The lateral compartment was sometimes involved independent of the central compartment.
doi_str_mv 10.1007/s002689900609
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Precise localization of cervical node metastasis of papillary thyroid carcinoma is rarely described. The aim of this retrospective study was to map their cervical involvement. Between 1974 and 1996 a series of 119 patients had total thyroidectomy with bilateral cervical lymph node dissection. Patients who had secondary node dissection for a cervical recurrence were excluded. Eight node sites were distinguished (ipsilateral and contralateral): paratracheal, mid‐jugular, supraclavicular, subdigastric. All pathologic specimens were reviewed by a single pathologist. Twenty‐five patients had lymph node involvement clinically before surgery. Seventy‐two (60.5%) had cervical metastasis (N+: node positive patients), with bilateral involvement in 28 cases. In cases of bilateral thyroid tumor localization, ipsilateral dissection designated the side with the largest nodule. The main ipsilateral involved sites were paratracheal (60 patients), mid‐jugular (44 patients), and supraclavicular (26 patients). Contralateral paratracheal nodes were involved in 25 patients and mid‐jugular nodes in 12. Among the N+ patients, node involvement was absent in 11 cases at paratracheal, 28 jugular, and 46 subclavicular sites. Cervical node metastases concerned 60.5% of the patients, with bilateral involvement in 40.8% of the N+ patients. Ipsilateral paratracheal and jugular sites were most frequently involved. 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Precise localization of cervical node metastasis of papillary thyroid carcinoma is rarely described. The aim of this retrospective study was to map their cervical involvement. Between 1974 and 1996 a series of 119 patients had total thyroidectomy with bilateral cervical lymph node dissection. Patients who had secondary node dissection for a cervical recurrence were excluded. Eight node sites were distinguished (ipsilateral and contralateral): paratracheal, mid‐jugular, supraclavicular, subdigastric. All pathologic specimens were reviewed by a single pathologist. Twenty‐five patients had lymph node involvement clinically before surgery. Seventy‐two (60.5%) had cervical metastasis (N+: node positive patients), with bilateral involvement in 28 cases. In cases of bilateral thyroid tumor localization, ipsilateral dissection designated the side with the largest nodule. 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Precise localization of cervical node metastasis of papillary thyroid carcinoma is rarely described. The aim of this retrospective study was to map their cervical involvement. Between 1974 and 1996 a series of 119 patients had total thyroidectomy with bilateral cervical lymph node dissection. Patients who had secondary node dissection for a cervical recurrence were excluded. Eight node sites were distinguished (ipsilateral and contralateral): paratracheal, mid‐jugular, supraclavicular, subdigastric. All pathologic specimens were reviewed by a single pathologist. Twenty‐five patients had lymph node involvement clinically before surgery. Seventy‐two (60.5%) had cervical metastasis (N+: node positive patients), with bilateral involvement in 28 cases. In cases of bilateral thyroid tumor localization, ipsilateral dissection designated the side with the largest nodule. The main ipsilateral involved sites were paratracheal (60 patients), mid‐jugular (44 patients), and supraclavicular (26 patients). Contralateral paratracheal nodes were involved in 25 patients and mid‐jugular nodes in 12. Among the N+ patients, node involvement was absent in 11 cases at paratracheal, 28 jugular, and 46 subclavicular sites. Cervical node metastases concerned 60.5% of the patients, with bilateral involvement in 40.8% of the N+ patients. Ipsilateral paratracheal and jugular sites were most frequently involved. The lateral compartment was sometimes involved independent of the central compartment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer‐Verlag</pub><pmid>10449830</pmid><doi>10.1007/s002689900609</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Bilateral Involvement
Biological and medical sciences
Carcinoma, Papillary - secondary
Carcinoma, Papillary - surgery
Cervical Node Metastasis
Child
Endocrinopathies
Female
Humans
Lymphatic Metastasis
Male
Malignant tumors
Medical sciences
Middle Aged
Neck
Node Positive Patient
Papillary Thyroid Carcinoma
Retrospective Studies
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroid. Thyroid axis (diseases)
Thyroidectomy
Total Thyroidectomy
title Localization of Cervical Node Metastasis of Papillary Thyroid Carcinoma
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