Lymphadenectomy in Papillary Thyroid Cancer
Authors:
B. Dudešek; J. Gatěk; J. Duben; L. Hnátek; J. Kotoč; K. Kotočová; P. Vážan *
Authors‘ workplace:
Chirurgické oddělení, Nemocnice ATLAS a. s., Zlín, Univerzita Tomáše Bati ve Zlíně
přednosta: prim. MUDr. Jiří Gatěk, Ph. D.
; Bioptická a cytologická laboratoř, vedoucí lékař MUDr. Josef Velecký
*
Published in:
Rozhl. Chir., 2010, roč. 89, č. 9, s. 543-547.
Category:
Monothematic special - Original
Overview
Introduction:
Papillary carcinoma is the most frequent malign tumour of the thyroid with rising incidence and metastasising in lymphatic veins.
Aim:
Diagnosing our patients and comparing the TNM stages to metastases found in lymphatic nodes.
Materials, methods: A retrospective study of 1,353 patients treated at our department between 2005 and 2008.
Results:
220 (16.3%) malign thyroid tumours have been found among 1,353 patients. Papillary carcinoma has been found in 180 cases, according to the TNM classification T1mic 80x (44.4%), T1 58x (32.2%), T2 29x (16.1%), T3 8x (4.4%), T4 5x (2.8%). Multifocal incidence of papillary carcinoma has been observed in 42 patients (23.3%). Lymphadenectomy cervicocentral 18x, ipsicervicolateral 52x, contracervicolateral 1x. In total, 351 nodes were removed and 113 nodes had metastasis of papillary carcinoma. 2 patients had permanent paresis of the NLR (1.11%), nerve at risk 0.56%, transitory paresis 5.56%.
Conclusion:
The basic surgical treatment of the thyroid with papillary carcinoma is total thyroidectomy with cervicocentral lymphadenectomy. Ipsilateral lympadenectomy is indicated in the case of nodes found sonographically or tumour size T2.
Key words:
papillary carcinoma of the thyroid – total thyroidectomy – lymphadenectomy
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2010 Issue 9
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