Prophylactic central neck dissection in differentiated thyroid cancer: An assessment of the evidence Journal Article


Authors: Gyorki, D. E.; Untch, B.; Tuttle, R. M.; Shaha, A. R.
Article Title: Prophylactic central neck dissection in differentiated thyroid cancer: An assessment of the evidence
Abstract: An area of ongoing controversy in the management of patients with differentiated thyroid cancer is the role of prophylactic central neck dissection (pCND). This review describes the natural history of differentiated thyroid cancer and provides the limited data regarding the role of routine pCND. An evidence-based analysis was performed of the rationale for routine pCND was performed, including reduced rates of central neck recurrence, reduced morbidity with secondary central neck lymphadenectomy, improved rates of postoperative athyroglobulinemia, and improved stratification of radioactive iodine (RAI) dosage. A critical appraisal of the available literature demonstrates insufficient evidence to indicate that this extra procedure performed routinely leads to improvement in clinically meaningful end points. © 2013 Society of Surgical Oncology.
Journal Title: Annals of Surgical Oncology
Volume: 20
Issue: 7
ISSN: 1068-9265
Publisher: Springer  
Date Published: 2013-07-01
Start Page: 2285
End Page: 2289
Language: English
DOI: 10.1245/s10434-013-2897-6
PROVIDER: scopus
PUBMED: 23417435
DOI/URL:
Notes: --- - "Export Date: 1 July 2013" - "CODEN: ASONF" - "Source: Scopus"
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MSK Authors
  1. Ashok R Shaha
    697 Shaha
  2. Robert M Tuttle
    481 Tuttle
  3. Brian Untch
    65 Untch
  4. David Emerk Gyorki
    9 Gyorki