Metastatic Neck Disease in Multifocal Thyroid Papillary Cancer
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 4
Abstract
Aim: Multifocal papillary thyroid cancer (MPTC) has aggressive and poor prognosis. The main aim of this study was to evaluate the lymph node metastasis pattern in MPTC patients. Methods: We retrospectively investigated the records of 2530 patients who underwent thyroidectomy for papillary thyroid cancer between January 2010 and December 2017. The age, gender, tumor size, thyroid capsule invasion and neck metastatic disease were evaluated in 515 of these patients having MPTC. Results: We compared multifocal and unifocal papillary thyroid cancer patients considering papillary thyroid capsule invasion (29.9%/10.86%), mean tumor diameter (15.9 mm/16.1 mm), central lymph node metastasis (56.5%/18.3%) and lateral neck lymph node metastasis (23.1%/6.3%). Capsule invasion was associated with an increased risk of multifocal disease. The incidence of capsular invasion and central and lateral neck metastases in MPTC patients was statistically significantly higher than in patients with unifocal thyroid papillary cancer (p<0.001). Conclusion: We recommend bilateral total thyroidectomy and bilateral central neck dissection as primary surgical treatment in multifocal thyroid cancer patients.
Authors and Affiliations
Burak Ertaş, Hakan Kaya, Alper Özdilek, Serdar Giray, Fatma Tokat, Mete Düren
Keywords
Related Articles
- EP ID EP436376
- DOI 10.4274/haseki.4649
- Views 99
- Downloads 0
Incidental Gallbladder Cancer after Laparoscopic Cholecystectomy for Cholelithiasis, and Factors Affecting the Prognosis: A Single-center Experience
Aim: Despite surgical and radiological innovations, gallbladder cancer (GC) is usually diagnosed incidentally by the pathological examination of the cholecystectomy specimens, and it is defined as incidental GC (IGC). Me...
Association Between Cardiothoracic Ratio and Mortality in Neonates with Pneumothorax
Aim: The aim of this study was to determine the effect of a reduction in the cardiothoracic ratio (CTR) on mortality in newborns with pneumothorax. Methods: Newborns with pneumothorax, who were admitted to our neonatal i...
Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
Aim: It was aimed to determine the amount of wasted time and radiation exposure in intertrochanteric femur fracture surgeries for the use of C-arm fluoroscopy device during surgery. Methods: Records of 62 patients sustai...
Evaluation of Electroencephalography Findings in Isolated Hypocalcemia Patients
Aim: In our study, we aimed to analyze electroencephalography (EEG) findings in patients with hypocalcemia and to investigate possible relationship between calcium (Ca) level and EEG abnormalities and whether there was a...
A Rare Cause of Upper Gastrointestinal Bleeding: Brunner’s Gland Hamartoma
Brunner’s gland hamartoma is a submucosally localized and rarely encountered benign condition. Majority of cases are asymptomatic. Generally, it is diagnosed incidentally during endoscopic examinations of the upper gastr...