Sonographically-directed neck dissection for recurrent thyroid carcinoma

The Laryngoscope
Lisa Lee, David L Steward

Abstract

To determine the effectiveness of sonographically-directed compartmental neck dissection for recurrent differentiated thyroid carcinoma as confirmed by ultrasound surveillance and thyroid-specific biochemical markers. Retrospective chart review. Retrospective cohort study of 18 patients with sonographically localized and pathology-confirmed recurrent differentiated thyroid carcinoma. Fifteen patients chose to undergo compartmental neck dissection by a single surgeon. Surgery involved central compartment (level VI) or functional lateral neck dissection (level II-IV+/-V). Three patients declined surgery despite proven recurrent lymph node disease. All 18 patients started out with sonographic evidence of recurrent lymph node disease. Preoperative thyroglobulin or thyroglobulin antibody levels were positive in 17 of 18 patients (94%). Postoperatively, all 15 patients who underwent compartmental lymph node dissections had no sonographic evidence of lymph node disease. Of the 14 patients with preoperative positive thyroglobulin or thyroglobulin antibody levels, 9 patients converted to negative levels (64%). Furthermore, two of four patients (50%) converted to thyroglobulin antibody negative status after surgery. All three patients wh...Continue Reading

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Citations

Sep 30, 2009·Thyroid : Official Journal of the American Thyroid Association·Seung-Kuk BaekEun-Jae Chung
Mar 23, 2012·Thyroid : Official Journal of the American Thyroid Association·Brendan C StackUNKNOWN American Thyroid Association Surgical Affairs Committee
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Mar 11, 2010·The Oncologist·John I Lew, Carmen C Solorzano
Jan 31, 2012·Head & Neck·Avi KhafifAlfio Ferlito
Jul 14, 2012·The Journal of Clinical Endocrinology and Metabolism·David L Steward
Nov 10, 2018·Annals of Surgical Oncology·Veljko StrajinaMelanie L Lyden
Aug 3, 2019·World Journal of Surgery·Carlos Gustavo Rivera-RobledoMiguel F Herrera
Mar 20, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Murat Tuncel, Nilda Süslü
Jul 1, 2019·The Surgical Clinics of North America·Mamoona Khokhar, Mira Milas

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