Preoperative prediction of central lymph node
metastasis in thyroid papillary microcarcinoma using clinicopathologic and sonographic features.
A study on central lymph node metastasis in 543 [cN.
Ji, "Predictive factors for central lymph node metastasis in patients with [cN.
Risk factors for central lymph node metastasis in CN0 papillary thyroid carcinoma: a systematic review and meta-analysis," PLoS ONE, vol.
Occult Contralateral Central Lymph Node
Metastases in Papillary Thyroid Carcinoma with Unilateral Lymph Node Metastasis in the Lateral Neck.
A neoplastic cause is excluded by the lack of mediastinal or apical lung lesions on the CT scan, the presence of central lymph node
necrosis, and the good response to TB treatment.
It could be argued that mutation-positive patients are candidates not for watchful waiting, but for total thyroidectomy and prophylactic central lymph node
dissection, followed by adjuvant radioiodine and more frequent follow-up.
Patients in the conventional open approach group underwent conventional open total thyroidectomy with central lymph node dissection in the supine position with neck extension under general endotracheal anesthesia.
Among the 100 patients, 35 (35%) had subclinical central lymph node metastasis.
3,5,8,11) In patients with no clinical/radiographic evidence of regional lymph node involvement, several authors have recommended elective central lymph node
compartment dissection (level VI).
This high rate may be attributable to the performance of total thyroidectomy and the dissection of central lymph nodes
in most cases.