In these cases of PTMC, prophylactic central lymph node
dissection could be planned.
For the question 'should routine central lymph node
dissection be performed intraoperatively in a patient with papillary microcarcinoma?', 27% of the participants said 'yes'.
Dralle, "Skip Metastases in Thyroid Cancer Leaping the Central Lymph Node
Compartment," JAMA Surgery, vol.
However, the cervical lymph node metastasis (LNM) especially central lymph node
metastasis (CLNM) in PTC is very common with the incidence rate ranging from 45%-80% [2-5].
Meanwhile, considering the age of the patient, the primary plan was to resect right thyroid and its isthmus and perform central lymph node
Preoperative prediction of central lymph node
metastasis in thyroid papillary microcarcinoma using clinicopathologic and sonographic features.
Several risk factors for the presence of central lymph node
metastases in DTC have been previously described and found to be primary tumor size, extra-thyroidal extension (ETE) and aggressive histological subtypes (3).
The morbidityvaries from one author to another, depending on whether it is about completion thyroidectomy or central lymph node
dissection for thyroid cancers, or lobectomy after recurrence of a benign goitre.
One of these twenty patients underwent a total thyroidectomy and a central lymph node
dissection due to suspected central lymph involvement and subsequently received postoperative radioiodine therapy for remnant ablation when 4 central lymph nodes
were found to contain microscopic cancer on pathologic examination with the largest nodal deposit measuring 0.4 cm (Patient 34, Table 1).
Central lymph node
metastases in unilateral papillary thyroid microcarcinoma.
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.