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central lymph node thyroid carcinoma

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https://www.readbyqxmd.com/read/27900764/a-novel-thyroid-cancer-nodal-map-classification-system-to-facilitate-nodal-localization-and-surgical-management-the-a-to-d-map
#1
Marybeth Cunnane, Natalia Kyriazidis, Dipti Kamani, Amy F Juliano, Hillary R Kelly, Hugh D Curtin, Samuel R Barber, Gregory W Randolph
OBJECTIVES/HYPOTHESIS: To evaluate the effectiveness, reproducibility, and usability of our proposed nodal nomenclature and classification system employed for several years in our high-volume thyroid cancer unit, for the adequate localization and mapping of lymph nodes in thyroid cancer patients with extensive nodal disease. STUDY DESIGN: Retrospective review. METHODS: Thirty-three thyroid cancer patients with extensive nodal disease treated from January 2004 to May 2013 were included in our study...
November 30, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27859312/nomogram-for-predicting-central-node-metastasis-in-papillary-thyroid-carcinoma
#2
Seo Ki Kim, Young Jun Chai, Inhye Park, Jung-Woo Woo, Jun Ho Lee, Kyu Eun Lee, Jun-Ho Choe, Jung-Han Kim, Jee Soo Kim
BACKGROUND: There was a difficulty for detecting Central lymph node metastasis (CLNM) in papillary thyroid carcinoma (PTC) patients. Therefore, the purpose of this study was to design a nomogram for predicting CLNM. METHODS: A total of 10,763 PTC patients who underwent total thyroidectomy with central neck dissection (CND) in Samsung Medical Center were randomly assigned to the training set (n = 7,535) and to the internal validation set (n = 3,228). And, a total of 2,514 PTC patients who underwent total thyroidectomy with CND at Seoul National University Hospital were assigned to the external validation set...
November 18, 2016: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27833882/adult-thyroglossal-duct-carcinoma-of-thyroid-epithelial-origin-a-retrospective-observational-study
#3
Rahim Akram, Joseph J Wiltshire, Jonathan Wadsley, Sabapathy P Balasubramanian
Thyroglossal duct or cyst carcinoma (TGDCCa) is uncommon. Current treatments follow those of thyroid cancer but controversy exists over the extent of thyroid and lymph node surgery. Our aim was to study the presentation, treatment strategies and clinical outcomes in patients presenting with TGDCCa. Of 637 patients diagnosed with thyroid cancer over 15-years, 4 patients (0.6 %) with TGDCCa were identified. Two patients were diagnosed outside this time period. Details of demographics, presentation, diagnosis, management and outcomes of all 6 patients were reviewed...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27806783/-clinicopathological-features-of-thyroid-papillary-microcarcinoma-of-which-the-maximum-diameter-is-less-than-5-mm-a-series-of-487-cases
#4
C Chen, H Z Chen, C H Lyu, S Xue, N K Yu, X Chen
Objective: To analyze the clinical and pathological features of papillary thyroid microcarcinoma(PTMC) of which the maximum diameter is less than 5 mm. Methods: Clinical data of 487 PTMC (≤5 mm) patients who underwent primary surgery by the same team of doctors between March 2013 to March 2016 at Department of Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University were analyzed retrospectively. Female patients accounted for 77.4%(377/487). The age ranged from 22 to 80 years, with an average of (46±11) years...
November 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27806782/-modified-minimally-invasive-video-assisted-lateral-neck-dissection-for-papillary-thyroid-carcinoma-a-series-of-130-cases
#5
D G Zhang, L Gao, L Xie, G F He, L Fang, J Chen, Y W Miao, Z Z Wang
Objective: To discuss the feasibility, safety and oncologic completeness of modified minimally invasive video-assisted lateral neck dissection (MIVALND) for papillary thyroid carcinoma. Methods: Data of 130 patients from Department of Head and Neck Surgery, Sir Run Run Shaw Hospital, Medical School, Zhejiang University undergoing MIVALND from January 2013 to September 2015 were reviewed retrospectively. There were 31 male and 99 female patients with the mean age of (39±11) years. The thyroidectomy and central compartment dissection were performed under a direct visual field or video-assisted (VA) approach, lateral neck dissection was performed via the VA approach...
November 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27775804/the-impact-of-the-multifocality-and-subtypes-of-papillary-thyroid-carcinoma-on-central-compartment-lymph-node-metastasis
#6
L Soylu, O U Aydin, S Ozbas, B Bilezikci, S Ilgan, A Gursoy, S Kocak
OBJECTIVE: Papillary thyroid carcinoma (PTC) may often appear as multifocal disease. Few studies demonstrated a higher rate of central compartment lymph node metastasis (CCLNM) in multifocal PTC patients. Therefore, the effect of different histological subtypes of multifocal PTC on CCLNM is another subject for further examination. The aim of the present study is to evaluate the rate of central lymph node positivity in multifocal PTC as compared to unifocal disease, and to identify the role of different histologic subtypes of PTC on central neck lymph node positivity...
October 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27774578/propensity-score-matched-analysis-of-robotic-versus-endoscopic-bilateral-axillo-breast-approach-baba-thyroidectomy-in-papillary-thyroid-carcinoma
#7
Seo Ki Kim, Jung-Woo Woo, Inhye Park, Jun Ho Lee, Jun-Ho Choe, Jung-Han Kim, Jee Soo Kim
PURPOSE: The da Vinci surgical robot system was developed to overcome the weaknesses of endoscopic surgery. However, whether robotic surgery is superior to endoscopic surgery remains uncertain. Therefore, the purpose of this study was to compare the surgical and oncologic outcomes between endoscopic and robotic thyroidectomy using bilateral axillo-breast approach (BABA). METHODS: Between January 2008 and June 2015, papillary thyroid carcinoma patients who underwent thyroidectomy with central neck dissection using endoscopic (n = 480) or robotic (n = 705) BABA were primarily reviewed...
October 24, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27750022/predicting-factors-for-bilaterality-in-papillary-thyroid-carcinoma-with-tumor-size-4-cm
#8
Seo Ki Kim, Inhye Park, Jung-Woo Woo, Jun Ho Lee, Jun-Ho Choe, Jung Han Kim, Jee Soo Kim
BACKGROUND: In the 2015 American Thyroid Association guidelines, either lobectomy or total thyroidectomy was recommended for thyroid cancer < 4 cm without extrathyroidal extension (ETE) and lymph node (LN) metastasis. Therefore, the purpose of this study was to investigate factors predictive of bilaterality in papillary thyroid carcinoma (PTC) patients with tumor size < 4 cm. METHODS: We retrospectively reviewed 3296 conventional PTC patients who underwent total thyroidectomy with central neck dissection and/or lateral neck dissection between January 2008 and June 2015...
October 17, 2016: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/27743717/inadvertent-parathyroidectomy-during-total-thyroidectomy-and-central-neck-dissection-for-papillary-thyroid-carcinoma
#9
Antonio Sitges-Serra, Lander Gallego-Otaegui, Sergio Suárez, Leyre Lorente-Poch, Assumpta Munné, Juan J Sancho
BACKGROUND: The main drawback of central neck lymph node dissection is postoperative parathyroid failure. Little information is available concerning inadvertent resection of the parathyroid glands in this setting and its relationship to postoperative hypoparathyroidism. Our aim was to determine the prevalence of inadvertent parathyroidectomy during total thyroidectomy and central neck dissection for papillary thyroid cancer and its impact on short-and long-term parathyroid function. METHODS: This was a prospective observational study of consecutive patients undergoing first-time total thyroidectomy with a central neck dissection for papillary carcinoma >10 mm...
October 13, 2016: Surgery
https://www.readbyqxmd.com/read/27738849/thyroglobulin-measurement-in-fine-needle-aspiration-improves-the-diagnosis-of-cervical-lymph-node-metastases-in-papillary-thyroid-carcinoma
#10
Zahraa Al-Hilli, Veljko Strajina, Travis J McKenzie, Geoffrey B Thompson, David R Farley, M Regina Castro, Alicia Algeciras-Schimnich, Melanie L Richards
BACKGROUND: Papillary thyroid carcinoma (PTC) is frequently associated with cervical lymph node metastases. Guidelines recommend performing ultrasound-guided fine-needle aspiration cytology (FNAC) for suspicious nodes to guide management. No specific recommendations are available for the use of FNA thyroglobulin assay (FNA-Tg). This study investigated the diagnostic value of performing FNAC and FNA-Tg. METHODS: Patient demographics, preoperative investigations, surgery, and lymph node pathology were collected for patients with PTC who underwent lateral neck lymphadenectomy and central compartment reexploration from January 2000 to July 2015...
October 13, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27737333/risk-factors-analyses-for-lateral-lymph-node-metastases-in-papillary-thyroid-carcinomas-a-retrospective-study-of-356-patients
#11
Xilin Nie, Zhuo Tan, MingHua Ge, LieHao Jiang, JiaFeng Wang, ChuanMing Zheng
Objective: The aim of this study was to investigate the incidence and risk factors for lateral lymph node metastasis (LLNM) in patients with papillary thyroid carcinoma (PTC). Subjects and methods: 356 patients diagnosed with PTC who underwent total thyroidectomy and central lymph node dissection and lateral lymph node dissection between January 2005 and December 2011 were enrolled. The relation between LLNM and clinicopathological features such as gender, age, tumor size, tumor spread, psammoma bodies, tumor multifocality, extrathyroidal extension (ETE), unilateral or bilateral disease, tumor primary location and central lymph node metastases (CLNM) was analyzed...
October 2016: Archives of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27732096/lymphocytic-thyroiditis-is-associated-with-increased-number-of-benign-cervical-nodes-and-fewer-central-neck-compartment-metastatic-lymph-nodes-in-patients-with-differentiated-thyroid-cancer
#12
Ines Donangelo, Ann E Walts, Catherine Bresee, Glenn D Braunstein
OBJECTIVE: Whether or not autoimmune thyroid disease influences the progression of differentiated thyroid cancer (DTC) remains controversial. Findings of previous studies are influenced by lead time bias and/or procedure bias selection. These biases can be reduced by studying a single-institution patient population that underwent a similar extent of surgical resection. METHODS: From a cohort of 660 patients with DTC who underwent thyroidectomy, we retrospectively studied 357 patients who underwent total thyroidectomy and central compartment node dissection (CCND) for DTC between 2003 and 2013...
October 2016: Endocrine Practice
https://www.readbyqxmd.com/read/27679542/recurrence-rate-in-regional-lymph-nodes-in-737-patients-with-follicular-or-h%C3%A3-rthle-cell-neoplasms
#13
Andrej Vogrin, Hana Besic, Nikola Besic, Maja Marolt Music
BACKGROUND: Preoperative ultrasound (US) evaluation of central and lateral neck compartments is recommended for all patients undergoing a thyroidectomy for malignant or suspicious for malignancy cytologic or molecular findings. Our aim was to find out how frequent was recurrence in regional lymph nodes in patients with follicular or Hürthle cell neoplasm and usefulness of preoperative neck US investigation in patients with neoplasm. PATIENTS AND METHODS: Altogether 737 patients were surgically treated because of follicular or Hürthle cell neoplasms from 1995 to 2014 at our cancer comprehensive center, among them 207 patients (163 females, 44 males; mean age 52 years) had thyroid carcinoma...
September 1, 2016: Radiology and Oncology
https://www.readbyqxmd.com/read/27634154/a-nomogram-predicting-contralateral-central-neck-lymph-node-metastasis-for-papillary-thyroid-carcinoma
#14
Hu Hei, Yongping Song, Jianwu Qin
BACKGROUND AND OBJECTIVES: Central compartment neck dissection (CCND) is recommended for patients with papillary thyroid carcinoma (PTC). However, whether to perform contralateral CCND remains unclear. An individualized estimation of the contralateral central neck metastasis (CNM) risk would assist in the tailoring of treatment for PTC patients. METHODS: Consecutive patients who underwent bilateral CCND for unilateral PTC between 2012 and 2014 in a tertiary center were identified...
November 2016: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27624581/computed-tomography-detected-central-lymph-node-metastasis-in-ultrasonography-node-negative-papillary-thyroid-carcinoma-is-it-really-significant
#15
Seo Ki Kim, Jung-Woo Woo, Inhye Park, Jun Ho Lee, Jun-Ho Choe, Jung-Han Kim, Jee Soo Kim
BACKGROUND: Because of the limitations in ultrasonography (US), the advantages of computed tomography (CT) for detecting central lymph node (LN) metastasis have been suggested in papillary thyroid carcinoma (PTC). METHODS: First, we compared the diagnostic accuracy of US and CT for detecting central LN metastasis in 6577 central neck levels from 3668 PTC patients. Second, to examine the clinical impact of CT-detected central LN metastasis (CT cN1a) in PTC patients with clinically node negative in US (US cN0), we selected two groups: group I comprised 1245 US cN0 PTC patients who did not have CT scans and did not undergo central neck dissection (CND), while group II comprised 348 US cN0 and CT cN1a PTC patients who underwent CND...
September 13, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27541032/how-many-contralateral-carcinomas-in-patients-with-unilateral-papillary-thyroid-microcarcinoma-are-preoperatively-misdiagnosed-as-benign
#16
Zeng Gui Wu, Xing Qiang Yan, Ru Si Su, Zhao Sheng Ma, Bo Jian Xie, Fei Lin Cao
BACKGROUND: The decision to perform a total thyroidectomy (TT) for unilateral papillary thyroid microcarcinoma (PTMC) with nodules in the contralateral lobe remains controversial. The aim of this study was to investigate the rate of contralateral carcinomas that are preoperatively misdiagnosed as benign. METHODS: From October 2011 to October 2015, a total of 347 patients with unilateral PTMC and contralateral benign nodules who were treated with a TT at a single institution were enrolled...
August 19, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27513407/effect-of-the-application-of-prophylactic-central-compartment-lymph-node-dissectionon-radioiodine-ablation-doses-in-patients-with-papillary-thyroid-carcinoma
#17
Çiğdem Soydal, Elgin Özkan, Nuriye Özlem Küçük, Kemal Metin Kir
BACKGROUND/AIM: The aim of this study was to document the effect of the application of prophylactic central compartment dissection on radioiodine ablation activities for papillary thyroid carcinoma. MATERIALS AND METHODS: This retrospective study included 452 (383 females, 69 males; mean age = 46.69 years, min-max: 13-71) patients who received ablative radioiodine activity between April 2010 and December 2014. The histopathological reports of thyroidectomy and the administered radioiodine activity were evaluated...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27464542/-study-of-ultrasonographic-features-in-predicting-reginal-lymph-node-metastasis-in-patients-with-papillary-thyroid-carcinoma
#18
W Y Shi, M X Hu, Q Zhu, C X Xia, Y Zhao, Y J Zhou, Y Q Fang, X X Rong
OBJECTIVE: To demonstrate the ultrasonographic features of papillary thyroid carcinoma (PTC) in predicting associated cervical lymph nodes metastasis (LNM). METHODS: A total of 136 patients diagnosed with PTC in Beijing Tongren Hospital between January 2014 and September 2014 were enrolled.Of 136 cases, forty patients were confirmed with cervical lymph node metastasis.Seven were males, 33 were females, aged from 18 to 65 years old, mean age was (39.6±10.3) years ...
July 19, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27433458/influence-of-body-habitus-on-the-surgical-outcomes-of-bilateral-axillo-breast-approach-robotic-thyroidectomy-in-papillary-thyroid-carcinoma-patients
#19
Hee Seung Lee, Young Jun Chai, Su-Jin Kim, June Young Choi, Kyu Eun Lee
PURPOSE: Obesity is associated with a number of medical comorbidities and is considered a risk factor for surgical complications. The purpose of this study was to analyze the influence of body habitus including obesity on the surgical outcomes of the Bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) in papillary thyroid carcinoma (PTC) patients. METHODS: The medical records of 456 PTC patients who underwent BABA RoT between January 2011 and December 2012 were reviewed, and 310 women PTC patients who had undergone BABA robotic total thyroidectomy with central lymph node dissection were examined...
July 2016: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/27422244/surgical-safety-and-oncological-completeness-of-robotic-thyroidectomy-for-thyroid-carcinoma-larger-than-2%C3%A2-cm
#20
Young Jun Chai, Hyunsuk Suh, Jung-Woo Woo, Hyeong Won Yu, Ra-Yeong Song, Hyungju Kwon, Kyu Eun Lee
BACKGROUND: The safety of robotic thyroidectomy (RT) for small-sized thyroid carcinomas has been well established. The surgical outcomes of bilateral axillo-breast approach RT for thyroid carcinomas larger than 2 cm were evaluated and compared with those of open thyroidectomy (OT). METHODS: The medical records of patients who underwent total thyroidectomy or hemithyroidectomy followed by completion thyroidectomy for differentiated thyroid carcinomas measuring 2-4 cm were retrospectively reviewed...
July 15, 2016: Surgical Endoscopy
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