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Surgery Today

Erschienen in:

01.02.2013 | Original Article

Pattern of initial metastasis in the cervical lymph node from papillary thyroid carcinoma

verfasst von: Naoyoshi Onoda, Tetsuro Ishikawa, Hidemi Kawajiri, Tsutomu Takashima, Kosei Hirakawa

Erschienen in: Surgery Today | Ausgabe 2/2013

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Abstract

Purposes

This study attempted to reveal the pattern of initial lymphatic spread in order to investigate the clinical significances of lymph node metastasis in papillary thyroid carcinoma (PTC) since such information has yet to be elucidated in previous studies.

Methods

This study reviewed 501 consecutive patients with PTC who had been surgically treated, accompanied by routine node dissection of the central, and lateral compartments. Thirty-eight cases were found to have only one metastatic node, and 62 cases were found to have 2 or 3 metastatic nodes. The locations of these metastatic nodes were mapped, and evaluated.

Results

The initial lymph node metastasis occurred equally in the lateral and central compartments (19 vs. 19 nodes). Metastatic nodes were more frequently found in the central compartment (60 and 65 %) in cases with 2- and 3-node involvements. Twenty-two (60 %) and 33 (65 %) cases had at least one instance of lateral node involvement in those cases, respectively.

Conclusions

The current results demonstrated the pattern of initial lymphatic spread in PTC cases, and indicated the importance of evaluating the lateral nodes of at least compartments III and IV for accurate pathological staging, as well as for investigating the nature of the disease.

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Titel: Pattern of initial metastasis in the cervical lymph node from papillary thyroid carcinoma
verfasst von: Naoyoshi Onoda
Tetsuro Ishikawa
Hidemi Kawajiri
Tsutomu Takashima
Kosei Hirakawa
Publikationsdatum: 01.02.2013
Verlag: Springer Japan
Erschienen in: Surgery Today / Ausgabe 2/2013
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0228-3

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Abstract

Purposes

Methods

Results

Conclusions

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