Contentious issues in the management of the neck in well-differentiated thyroid cancers Book Section
| Authors: | Shaha, A. R.; Tuttle, R. M. |
| Editors: | Mallick, U. K.; Harmer, C. |
| Article/Chapter Title: | Contentious issues in the management of the neck in well-differentiated thyroid cancers |
| Abstract: | The management of nodal metastasis in well-differentiated thyroid cancer has generated considerable debate and controversy. This is primarily related to the excellent outcome in younger patients with nodal metastasis and the relatively low impact on long-term survival. There is also considerable controversy in relation to prophylactic central compartment dissection, which clearly has a higher risk of complications. The risk of recurrence in bulky nodal metastasis is quite significant and may lead to multiple further surgeries. Certain prognostic features in the nodal metastasis are important, such as aggressive histology, size and number of lymph nodes, and lymph node ratio. Preoperative evaluation with dedicated ultrasound and CT scan with contrast is vital. Frozen section is helpful during central compartment dissection. Routine radioactive iodine ablation appears to have a lesser impact. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023. Springer-Verlag London Limited, 2006, 2018. |
| Keywords: | surgical management; well differentiated thyroid cancer; central neck dissection; lateral neck dissection; nodal yield |
| Book Title: | Practical Management of Thyroid Cancer: A Multidisciplinary Approach. 3rd ed |
| ISBN: | 978-3-031-38604-6 |
| Publisher: | Springer |
| Publication Place: | Cham, Switzerland |
| Date Published: | 2023-01-01 |
| Start Page: | 111 |
| End Page: | 119 |
| Language: | English |
| DOI: | 10.1007/978-3-031-38605-3_9 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Book chapter: 9 -- Source: Scopus |
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