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Lobectomy and Prophylactic Central Neck Dissection for Papillary Thyroid Microcarcinoma: Do Involved Lymph Nodes Mandate Completion Thyroidectomy?

DC FieldValueLanguage
dc.contributor.author이소희-
dc.contributor.author이초록-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.contributor.author강상욱-
dc.contributor.author남기현-
dc.contributor.author박정수-
dc.contributor.author손해영-
dc.date.accessioned2015-01-06T17:27:57Z-
dc.date.available2015-01-06T17:27:57Z-
dc.date.issued2014-
dc.identifier.issn0364-2313-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100030-
dc.description.abstractBACKGROUND: The present study was designed to investigate the necessity of completion thyroidectomy for patients who underwent thyroid lobectomy for low-risk papillary thyroid microcarcinoma (PTMC) that was later pathologically diagnosed as central lymph node (CLN) metastasis. METHODS: Between 1986 and 2001, we assessed 551 patients who underwent thyroidectomy with prophylactic ipsilateral central compartment neck dissection, and 409 patients were followed-up completely. Thyroid lobectomy were performed in 281 and 128 patients, respectively. The patients were divided into two groups according to CLN metastasis. Clinicopathological profiles and follow-up details were investigated by retrospective chart review. RESULTS: The CLN-positive and -negative groups were comprised of 43 (15.2 %) and 238 patients (84.8 %), respectively. The mean ages of the two groups were not significantly different (p > 0.05). The mean tumor size of the CLN-positive group (6.8 mm) was significantly larger than that of the CLN-negative group (5.6 mm; p < 0.05). Microscopic capsular invasion was significantly higher in the CLN-positive group (51.2 vs. 23.9 %; p < 0.05). Overall, 21 patients (7.4 %, 21/281) experienced recurrence. Among these, 2 (4.7 %, 2/43) and 19 (8.0 %, 19/238) were in the CLN-positive and -negative groups, respectively. There was no significant correlation between CLN metastasis and tumor recurrence. CONCLUSIONS: Postoperative recurrence was lower in the CLN-positive group, and there was no significant correlation between CLN metastasis and tumor recurrence. Our results suggest that it is not necessary to perform completion thyroidectomy for PTMC patients who have undergone thyroid lobectomy and who have been pathologically diagnosed with CLN metastasis.-
dc.description.statementOfResponsibilityopen-
dc.format.extent872~877-
dc.relation.isPartOfWorld Journal of Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleLobectomy and Prophylactic Central Neck Dissection for Papillary Thyroid Microcarcinoma: Do Involved Lymph Nodes Mandate Completion Thyroidectomy?-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorCho Rok Lee-
dc.contributor.googleauthorHaiyoung Son-
dc.contributor.googleauthorSohee Lee-
dc.contributor.googleauthorSang-Wook Kang-
dc.contributor.googleauthorJong Ju Jeong-
dc.contributor.googleauthorKee-Hyun Nam-
dc.contributor.googleauthorWoong Youn Chung-
dc.contributor.googleauthorCheong Soo Park-
dc.identifier.doi10.1007/s00268-013-2348-3-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01646-
dc.contributor.localIdA02886-
dc.contributor.localIdA03256-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.contributor.localIdA00032-
dc.contributor.localIdA01245-
dc.contributor.localIdA02000-
dc.relation.journalcodeJ02802-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00268-013-2348-3-
dc.contributor.alternativeNameLee, So Hee-
dc.contributor.alternativeNameLee, Cho Rok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.alternativeNameKang, Sang Wook-
dc.contributor.alternativeNameNam, Kee Hyun-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.alternativeNameSon, Hai Young-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.contributor.affiliatedAuthorLee, So Hee-
dc.contributor.affiliatedAuthorLee, Cho Rok-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.contributor.affiliatedAuthorKang, Sang Wook-
dc.contributor.affiliatedAuthorNam, Kee Hyun-
dc.contributor.affiliatedAuthorSon, Hai Young-
dc.rights.accessRightsfree-
dc.citation.volume38-
dc.citation.number4-
dc.citation.startPage872-
dc.citation.endPage877-
dc.identifier.bibliographicCitationWorld Journal of Surgery, Vol.38(4) : 872-877, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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