Cited 32 times in
Occult lymph node metastases in neck level V in papillary thyroid carcinoma
DC Field | Value | Language |
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dc.contributor.author | 최은창 | - |
dc.date.accessioned | 2015-04-23T17:10:32Z | - |
dc.date.available | 2015-04-23T17:10:32Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0039-6060 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/101964 | - |
dc.description.abstract | BACKGROUND: The extent of lateral neck dissection for clinically evident nodal metastases in the lateral neck in a patient with papillary thyroid cancer (PTC) continues to remain controversial. METHODS: We reviewed retrospectively the medical records between March 2005 and March 2008 of 70 patients with PTC who underwent therapeutic lateral neck dissections (level II-V) to establish indications for omission of a level V lymphadenectomy. No patient in the study had a clinically positive level V lymph node. Neck dissection specimens were obtained for histologic analysis for node metastasis with respect to the individual neck levels. RESULTS: Thirty-four (49%), 52 (74%), and 48 (69%) patients had histologically positive lymph nodes in levels II, III, and IV, respectively. Occult metastases in level V were observed in 11 (16%) patients. Isolated positive level V lymph nodes were never found, while all patients with positive level V lymph nodes had simultaneous positive level IV lymph nodes. In addition, there was no instance of a pathologically positive lymph node in level V without a suspicious metastatic lymph node in level IV by preoperative ultrasonography. In multivariate analysis, simultaneous multilevel involvement (level II, III, and IV) of lymphatic metastases was associated with level V metastasis. CONCLUSION: Level V lymphadenectomy may be omitted in the treatment of PTC patients if positive nodes are not found on histologic exam (frozen section analysis) or by ultrasonography in level IV. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 241~245 | - |
dc.relation.isPartOf | SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Carcinoma, Papillary/pathology* | - |
dc.subject.MESH | Carcinoma, Papillary/surgery | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lymphatic Metastasis*/pathology | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neck Dissection* | - |
dc.subject.MESH | Thyroid Neoplasms/pathology* | - |
dc.subject.MESH | Thyroid Neoplasms/surgery | - |
dc.subject.MESH | Thyroidectomy | - |
dc.subject.MESH | Young Adult | - |
dc.title | Occult lymph node metastases in neck level V in papillary thyroid carcinoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학) | - |
dc.contributor.googleauthor | Young Chang Lim | - |
dc.contributor.googleauthor | Eun Chang Choi | - |
dc.contributor.googleauthor | Yeo-Hoon Yoon | - |
dc.contributor.googleauthor | Bon Seok Koo | - |
dc.identifier.doi | 10.1016/j.surg.2009.09.002 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04161 | - |
dc.relation.journalcode | J02700 | - |
dc.identifier.eissn | 1532-7361 | - |
dc.identifier.pmid | 19910012 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0039606009005261 | - |
dc.contributor.alternativeName | Choi, Eun Chang | - |
dc.contributor.affiliatedAuthor | Choi, Eun Chang | - |
dc.citation.volume | 147 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 241 | - |
dc.citation.endPage | 245 | - |
dc.identifier.bibliographicCitation | SURGERY, Vol.147(2) : 241-245, 2010 | - |
dc.identifier.rimsid | 50975 | - |
dc.type.rims | ART | - |
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