Central Neck Dissection for Papillary Thyroid Cancer
作者： Michael A. Rosenbaum , Christopher R. McHenry
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摘要: Objective To examine the role of central neck dissection (CND) in patients with papillary thyroid cancer (PTC). Design Retrospective analysis treated for PTC between 1993 and 2008. Setting Academic institution. Patients All diagnosed who underwent surgical therapy at our Main Outcome Measures Recurrence, hypocalcemia, hypoparathyroidism, recurrent laryngeal nerve (RLN) injury. Results A total 136 were PTC, 26 whom excluded because their initial resection was performed another Of 110 therapy, CND 22 (20%), 18 4 without enlarged nodes time surgery. mean (SD) 11 (4) lymph removed, node metastases identified 17 (77%). One patient developed a recurrence lateral 15 months' follow-up. Eighty-eight had no abnormal did not undergo CND, 2 (2%) ( P = .49) 14 years' Permanent RLN injury occurred 1 (1%). Transient hypocalcemia 19 (86%) compared 54 (61%) = .01). hypoparathyroidism (5%). Conclusion After thyroidectomy is uncommon, but more common, raising questions about use routine PTC.
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