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Title

Selective modified radical neck dissection for papillary thyroid cancer-is level I, II and V dissection always necessary?

Authors
Caron, N R
Tan, Y Y
Ogilvie, J B
Reiff, E S
Kebebew, E
Duh, Q Y
Clark, O H
Published in World Journal of Surgery. 2006, vol. 30, no. 5, p. 833-40
Abstract There is ongoing controversy as to the indications for and extent of lateral cervical lymphadenectomy for patients with papillary thyroid cancer (PTC). While most now agree that prophylactic lymph node dissections (LND) play no role, at the University of California, San Francisco (UCSF) we limit LND selectively on a level by level basis, and resect only the levels thought to harbor disease or to be at increased risk of metastases. This initial 'selective LND' usually includes levels III and IV (due to the well-documented increased likelihood of metastases to these levels) and levels I, II, and V are included when there is clinical or radiological evidence of disease or increased risk of it.
Keywords Adenocarcinoma, Papillary/pathology/surgeryAdultFemaleHumansLymphatic MetastasisMaleNeck Dissection/methodsNeoplasm Recurrence, LocalRetrospective StudiesThyroid Neoplasms/pathology/surgeryThyroidectomy
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PMID: 16555024
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CARON, N R et al. Selective modified radical neck dissection for papillary thyroid cancer-is level I, II and V dissection always necessary?. In: World Journal of Surgery, 2006, vol. 30, n° 5, p. 833-40. https://archive-ouverte.unige.ch/unige:36209

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Deposited on : 2014-04-30

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