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 |
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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. |
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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.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s002689900609</identifier><identifier>PMID: 10449830</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer‐Verlag</publisher><subject>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</subject><ispartof>World journal of surgery, 1999-09, Vol.23 (9), p.970-974</ispartof><rights>1999 International Society of Surgery</rights><rights>1999 INIST-CNRS</rights><rights>by the Société Internationale de Chirugie 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3979-71b5ae3576f919dc22ce797d6e7ec85540561650afdd38255e275c1244fda6873</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs002689900609$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs002689900609$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1932568$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10449830$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mirallié, Eric</creatorcontrib><creatorcontrib>Visset, Jacques</creatorcontrib><creatorcontrib>Sagan, Christine</creatorcontrib><creatorcontrib>Hamy, Antoine</creatorcontrib><creatorcontrib>Le Bodic, Marie‐Françoise</creatorcontrib><creatorcontrib>Paineau, Jacques</creatorcontrib><title>Localization of Cervical Node Metastasis of Papillary Thyroid Carcinoma</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bilateral Involvement</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Papillary - secondary</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Cervical Node Metastasis</subject><subject>Child</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Malignant tumors</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Node Positive Patient</subject><subject>Papillary Thyroid Carcinoma</subject><subject>Retrospective Studies</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroid. 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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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