Analysis of the prognostic significance of lymph node related characteristics in papillary thyroid carcinoma patients presenting with pre- or intra-operative evidence of cervical lymph node metastases

E. Soudry, O. Hilly, M. Preis, T. Hadar, K. Segal, G. Bachar, R. Feinmesser*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To identify the prognostic significance of specific lymph node related characteristics for disease persistence and recurrence in patients with pre- or intra-operative evidence of neck metastases and no other risk factors. Method and results Sixty-eight patients were identified; 50 per cent had persistent or recurrent disease. All underwent the same treatment strategy. There were no statistically significant differences in any of the patient- or tumour-related parameters when patients with and without persistence or recurrence were compared. Patients with recurrent or persistent disease had significantly larger (>3 cm) metastatic lymph nodes, but there were no differences regarding other lymph node related parameters (i.e. number, extracapsular extension, number of lymph nodes with extracapsular extension, and central vs lateral neck location). On multivariate analysis, however, none of the parameters were predictive of persistent or recurrent disease. Conclusion: In papillary thyroid carcinoma patients with no other risk factors, pre- or intra-operative evidence of cervical metastases was associated with a very high rate of disease persistence or recurrence. Specific lymph node characteristics were not shown to have prognostic significance.

Original languageEnglish
Pages (from-to)284-288
Number of pages5
JournalJournal of Laryngology and Otology
Volume128
Issue number3
DOIs
StatePublished - 12 Mar 2014

Keywords

  • Lymphadenopathy
  • Neoplasm Metastases
  • Papillary Thyroid Carcinoma
  • Pathology
  • Prognosis
  • Thyroid Neoplasms

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