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Central neck dissection

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https://www.readbyqxmd.com/read/30337508/parathyroid-carcinoma-a-single-institution-experience-and-a-review-of-the-international-literature
#1
Francesco Quaglino, Valentina Marchese, Riccardo Lemini, Alessandro Piovesan, Enrico Mazza, Tiziana Viora, Stefano Taraglio
INTRODUCTION: Parathyroid carcinoma (PC) is a slow-growing and very rare malignancy, representing less than 0.005% of all cancers. The rarity of PC makes it hard to create large-scale published series of patients affected by this condition. MATERIALS AND METHODS: We present four cases of PC treated in our Institution and analyze the most salient aspects of this disease highlighted in recent international literature. DISCUSSION AND COMMENTS: In our experience, in 3/4 cases, the clinical presentation of PC was not different compared to adenoma; therefore, the diagnosis was a post-operative histopathological surprise...
2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/30337503/parathyroid-carcinoma-a-single-institution-experience-and-a-review-of-the-international-literature
#2
Francesco Quaglino, Valentina Marchese, Riccardo Lemini, Alessandro Piovesan, Enrico Mazza, Tiziana Viora, Stefano Taraglio
INTRODUCTION: Parathyroid carcinoma (PC) is a slow-growing and very rare malignancy, representing less than 0.005% of all cancers. The rarity of PC makes it hard to create large-scale published series of patients affected by this condition. MATERIALS AND METHODS: We present four cases of PC treated in our Institution and analyze the most salient aspects of this disease highlighted in recent international literature. DISCUSSION AND COMMENTS: In our experience, in 3/4 cases, the clinical presentation of PC was not different compared to adenoma; therefore, the diagnosis was a post-operative histopathological surprise...
June 11, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/30314503/identifying-risk-factors-for-recurrence-of-papillary-thyroid-cancer-in-patients-who-underwent-modified-radical-neck-dissection
#3
Young Jae Ryu, Jin Seong Cho, Jung Han Yoon, Min Ho Park
BACKGROUND: Papillary thyroid cancer (PTC) patients with ipsilateral neck metastatic lymph node (LN) and those with contralateral neck metastatic LN belong to N1b. Only a few studies have reported on comparisons with regard to laterality of metastatic lateral LN. The aim of this study was to evaluate predictive factors for contralateral neck LN metastasis and to determine prognostic factors for recurrence in PTC patients with N1b. METHODS: This retrospective study reviewed the medical records of 390 PTC patients who underwent total thyroidectomy and central LN dissection plus ipsilateral or bilateral modified radical neck dissection (MRND) between January 2004 and December 2012...
October 12, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/30302890/comparison-of-outcomes-between-hemithyroidectomy-alone-and-hemithyroidectomy-with-elective-unilateral-central-neck-dissection-in-patients-with-papillary-thyroid-microcarcinoma
#4
Ho Jin Son, Jeong Kyu Kim, Young Do Jung, Gyu Ho Jang, Youn Tae Seo, Deok Su Kim, Sung Hwan Park, Young Ju Jeong
BACKGROUND: There have been arguments over the efficacy of elective unilateral central neck dissection (CND) in patients with papillary thyroid carcinoma (PTC) <1 cm who underwent hemithyroidectomy. This study was designed to investigate locoregional recurrence and postoperative complications related to elective unilateral CND for papillary thyroid microcarcinoma (PTMC). METHODS: Five hundred thirty-seven patients who underwent hemithyroidectomy, with or without CND for PTMC, were included...
October 10, 2018: Head & Neck
https://www.readbyqxmd.com/read/30294871/braf-mutation-in-papillary-thyroid-cancer-prevalence-and-clinical-correlation-in-a-southeast-asian-cohort
#5
Xueying Goh, Jeffery Lum, Samantha Peiling Yang, Siok Bee Chionh, Evelyn Koay, Lily Chiu, Rajeev Parameswaran, Kee Yuan Ngiam, Thomas Kwok Seng Loh, Min En Nga, Chwee Ming Lim
OBJECTIVE: BRAF mutation is the commonest mutation seen in papillary thyroid cancer (PTC), but its prevalence and clinical significance vary across countries. We aim to evaluate the prevalence and clinico-pathological correlation of BRAF mutation in PTC patients at our center. STUDY DESIGN: Retrospective cohort study of 75 consecutive archival thyroid specimens, whereby BRAF mutation was detected using a polymerase chain reaction (PCR) technique and correlated with clinical and pathological features and outcomes...
October 8, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/30264276/the-learning-curve-of-endoscopic-thyroid-surgery-for-papillary-thyroid-microcarcinoma-cusum-analysis-of-a-single-surgeon-s-experience
#6
Jian Yu, Shangrui Rao, Zhe Lin, Zhongliang Pan, Xiangjian Zheng, Zhonglin Wang
BACKGROUND: With the development of surgical technics, endoscopic thyroid surgery has been gradually accepted and utilized in thyroid disease treatment, including thyroid carcinoma. This study aimed to evaluate the learning curve for endoscopic hemithyroidectomy (EHT) with ipsilateral central neck dissection (CND) and investigate how many cases must be performed before a surgeon becomes competent and proficient in this approach. METHODS: Ninety-nine consecutive patients who underwent EHT with ipsilateral CND for papillary thyroid microcarcinoma by a single surgeon between June 2015 and October 2017 were analyzed...
September 27, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30237011/significance-of-neck-dissection-for-the-treatment-of-clinically-evident-medullary-thyroid-carcinomas-a-systematic-review
#7
Soon-Hyun Ahn, Eun Jae Chung
OBJECTIVE: The survival benefit of prophylactic lateral neck dissection in medullary thyroid carcinomas remains unclear; thus, recent clinical guidelines have deferred the recommendation of lateral neck dissection. This review is to assess the role of lateral neck dissection in treatment of clinically overt medullary thyroid carcinoma. METHODS: A meta-analysis was performed on full-text publications written in English sourced using Embase and Medline databases. Publications with data regarding lateral neck dissection and clinical outcome were included...
September 17, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/30224623/-a-case-of-carcinoma-showing-thymus-like-differentiation-castle-of-the-thyroid
#8
Yuzuru Inoue, Shiro Kohi, Masato Gobara, Fumi Joden, Kei Yabuki, Takayuki Tanoue, Nagahiro Sato, Takefumi Katsuki, Takahisa Nagata, Kazunori Shibao, Masanori Hisaoka, Keiji Hirata
The case presented herein was a 70-year-old woman who had no compliant, but had a mass in the lower part of the right lobe of the thyroid detected by ultrasound (US). The US image of the tumor, measuring 13 mm in diameter, showed a low and heterogeneous internal echo level with calcification and an irregular margin. The tumor appeared to extend to the adjacent sternothyroid muscle, and cervical lymph node swelling was detected in a computer tomography (CT) image, but no metastatic lesion was found by positron emission tomography (PET)-CT...
2018: Journal of UOEH
https://www.readbyqxmd.com/read/30223884/a-systematic-approach-to-the-recurrent-laryngeal-nerve-dissection-at-the-cricothyroid-junction
#9
Oleksandr Butskiy, Brent A Chang, Kimberly Luu, Robert M McKenzie, Donald W Anderson
BACKGROUND: To describe and evaluate a four step systematic approach to dissecting the recurrent laryngeal nerve (RLN) starting at the cricothyroid junction during thyroid surgery (subsequently referred to as the retrograde medial approach). METHODS: All thyroidectomies completed by the senior author between August 2014 and January 2016 were retrospectively reviewed. Patients were excluded if concurrent lateral or central neck dissection was performed. A follow up period of 1 year was included...
September 17, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/30215297/oncocytic-papillary-thyroid-cancer-has-similar-prognosis-to-matched-classical-papillary-thyroid-cancer-controls
#10
Azadeh A Carr, Tina Yen, Diana I Ortiz, Bryan C Hunt, Gilbert Fareau, Becky L Massey, Bruce H Campbell, Kara L Doffek, Douglas B Evans, Tracy S Wang
BACKGROUND: Previous studies have suggested that oncocytic variant papillary thyroid cancer (PTC) may be more aggressive, with higher rates of recurrent disease. The aim of this study was to evaluate characteristics and outcomes of patients with oncocytic variant PTC compared to classical PTC. METHODS: Patients with oncocytic variant PTC were retrospectively identified from 519 patients who underwent thyroidectomy for PTC between 1/09-8/15. Data collected included patient demographics, laboratory and pathology findings, imaging studies, treatment, and follow-up...
September 14, 2018: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/30215157/feasibility-of-a-unidirectionally-progressive-pancreas-oriented-procedure-for-laparoscopic-d3-right-hemicolectomy
#11
Xiangbing Deng, Tao Hu, Mingtian Wei, Qingbin Wu, Tinghan Yang, Wenjian Meng, Ziqiang Wang
BACKGROUND: Complete mesocolic excision (CME) with central ligation or D3 lymphadenectomy has been reported to provide increased lymph node retrieval with the prospect of superior oncological results in colon cancer. However, right hemicolectomy with CME or D3 lymphadenectomy by laparoscopy is considered to be a technically challenging and time-consuming procedure with a higher risk of causing intraoperative injuries. Here, we introduce a novel laparoscopic approach for the D3 right hemicolectomy and report its feasibility, safety, and efficacy in cancer clearance...
September 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/30214283/long-term-oncologic-outcomes-of-papillary-thyroid-microcarcinoma-according-to-the-presence-of-clinically-apparent-lymph-node-metastasis-a-large-retrospective-analysis-of-5-348-patients
#12
Jung Bum Choi, Woo Kyung Lee, Seul Gi Lee, Haengrang Ryu, Cho Rok Lee, Sang Wook Kang, Jong Ju Jeong, Kee-Hyun Nam, Eun Jig Lee, Woong Youn Chung, Young Suk Jo, Jandee Lee
Purpose: Active surveillance (AS) of low-risk papillary thyroid microcarcinoma (PTMC) may reduce the risk of overtreatment of clinically insignificant cancer. However, the absence of predictor for the progression of PTMC resulted in treatment delay and potentially compromising cure of aggressive disease. Therefore, to anticipate potential damage of delayed surgery, we investigated the oncologic outcomes of patients with low-risk PTMC initially eligible for AS except clinically apparent lymph node metastasis (LNM), imitating delayed surgery with neck dissection...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/30174013/pre-operative-ultrasound-guided-wire-localization-for-recurrent-or-persistent-thyroid-disease-a-series-of-four-cases
#13
Shruti Zaveri, Jeffrey C Rastatter, John M Carter, Stanley Kim, John Maddalozzo
INTRODUCTION: Successful pediatric revision thyroid surgery depends primarily on effective localization of recurrent or persistent lesions. Secondary to fibrosis and scarring, blind regional dissection can fail to retrieve the tissues of concern. Conventionally, high resolution CT or ultrasound of the neck has been used to map lesions within the thyroid bed. The success rate of excising recurrent lesions using these mapping techniques is at best 80%. We present a small series of patients in which hook wire localization was used to help localize and excise recurrent and/or persistent neck disease during secondary operations...
October 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/30145001/decision-making-for-the-central-compartment-in-differentiated-thyroid-cancer
#14
REVIEW
João Gonçalves Filho, Mark E Zafereo, Faisal I Ahmad, Iain J Nixon, Ashok R Shaha, Vincent Vander Poorten, Alvaro Sanabria, Avi Khafif Hefetz, K Thomas Robbins, Dipti Kamani, Gregory W Randolph, Andres Coca-Pelaz, Ricard Simo, Alessandra Rinaldo, Peter Angelos, Alfio Ferlito, Luiz P Kowalski
The central compartment is a common site for nodal spread from differentiated thyroid carcinoma, often occurring in patients without clinical or ultrasonographic (US) evidence of neck lymph node metastasis (cN0). However, the role of elective central compartment neck dissection (CND) among patients with DTC remains controversial. We performed a systematic literature review, also including review of international guidelines, with discussion of anatomic and technical aspects, as well as risks and benefits of performing elective CND...
August 13, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/30126565/an-evaluation-of-clinicopathological-factors-effective-in-the-development-of-central-and-lateral-lymph-node-metastasis-in-papillary-thyroid-cancer
#15
Betul Aydin Buyruk, Nur Kebapci, Goknur Yorulmaz, Aytuğ Buyruk, Mahmut Kebapci
INTRODUCTION AND AIM: Papillary thyroid cancer (PTC) constitutes more than 90% of newly emerging differentiated thyroid cancers. Lymph node metastasis is often seen in PTC. There is a high risk of central metastasis in the presence of clinicopathological factors such as extrathyroidal extension, multifocality and lymphovascular invasion. The aim of this study is to evaluate the clinicopathological features that are effective in the development of lymph node metastasis. MATERIAL AND METHOD: A retrospective examination was made of the records of patients diagnosed with papillary thyroid cancer and followed up in our clinic...
August 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/30107162/papillary-thyroid-carcinoma-incidentally-found-in-cervical-lymph-nodes-during-neck-dissection-for-patients-with-tongue-squamous-cell-carcinoma-a-3-case-report-and-literature-review
#16
Yu-Ming Xu, Zhao-Jian Gong, Han-Jiang Wu
The incidence of papillary thyroid carcinoma (PTC) found in the cervical lymph nodes during neck dissection for patients with tongue squamous cell carcinoma (SCC) is infrequent, with the coexistence of PTC and SCC in the same cervical lymph node being the rarest. Some of these patients present with primary lesions in the thyroid gland, whereas others have no obviously malignant thyroid lesion. The reasons behind this clinical phenomenon and the relationship between tongue SCC and PTC found in the cervical lymph nodes are unclear...
July 20, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30100039/noninvasive-follicular-thyroid-neoplasm-with-papillary-like-nuclear-features-reclassification-and-its-impact-on-thyroid-malignancy-rate-and-treatment
#17
Melissa L Mao, Thomas Joyal, Omar Picado, Darcy Kerr, John I Lew, Josefina C Farrá
BACKGROUND: The reclassification of noninvasive encapsulated follicular variant papillary thyroid carcinoma (FVPTC) to noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) may have significant implications by changing overall malignancy rates and minimizing the extent of surgical treatment. METHODS: A retrospective review of 847 patients who underwent thyroidectomy at a single institution from January 2010 to April 2016 was performed...
October 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30078501/predictive-factors-of-lateral-lymph-node-metastasis-in-solitary-papillary-thyroid-microcarcinoma-without-gross-extrathyroidal-extension
#18
Xi Zhang, Li Zhang, Shuai Xue, Peisong Wang, Guang Chen
BACKGROUND: Solitary papillary thyroid microcarcinoma (PTMC) without gross extrathyroidal extension (ETE) were the main candidates for active surveillance (AS). Predictive factors of lateral lymph node metastasis (LLNM) in solitary PTMC without gross ETE were essential but still unknown. METHODS: Altogether, 171 patients of solitary PTMC without gross ETE were enrolled in our study and divided into two groups. Group A: 123 patients without lateral lymph node dissection (LLND) were considered to be LLNM negative because there was no lateral recurrence by at least 8-year follow up for all patients...
August 3, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/30063500/metastatic-salivary-ductal-carcinoma-to-the-mastoid-segment-of-the-facial-nerve
#19
Joshua E Fabie, Jonathan L Hatch, Ashley W Cross, Samuel L Oyer, David M Neskey, Theodore R McRackan
OBJECTIVE: To describe salivary ductal carcinoma (SDC) presenting as an isolated lesion of the mastoid segment of the facial nerve PATIENTS:: A 70-year-old man presenting with weakness of his right lower lip that progressed to complete facial paralysis over a span of 2 weeks. MAIN OUTCOME MEASURES: Clinical case records, immunohistochemical analyses, and radiological analyses including magnetic resonance imaging and positron emission tomography-computed tomography...
September 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/30051536/identification-of-lymphatic-channels-in-the-tracheoesophageal-groove-during-central-neck-dissection-for-thyroid-cancer
#20
Yong Tae Hong, Ki Hwan Hong
BACKGROUND: Chyle leakage after central neck dissection for thyroid carcinoma is an extremely rare condition. We investigated chyle leakage in patients with thyroidectomy and central neck dissection. METHODS: We experienced 3 cases of chyle leakage. The patterns of lymphatic drainage from the central neck to the lateral neck (supraclavicular fossa) were reviewed. The amount and duration of chyle leakage were measured in patients with postoperative chyle leakages...
September 2018: Head & Neck
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