PAPILLARY THYROID CARCINOMA TREATMENT - IS THE PENDULUM SHIFTING?

Sagit Stern, Elad Dagan, Eran E. Alon, Ziv Gil, Gideon Bachar

Research output: Contribution to journalReview articlepeer-review

Abstract

INTRODUCTION: The incidence of papillary thyroid carcinoma has been on the rise in the past few decades while the disease specific mortality remains stable. During prophylactic central neck dissection (level 6), an average of 60% positive occult lymph nodes metastasis are found, hence the justification for performing a prophylactic central neck dissection. The opponents for performing neck dissection claim that the disease specific mortality is low regardless of the operation and that adding a neck dissection will, significantly, increase surgical morbidity. Guidelines regarding prophylactic central neck dissection differ between countries and cultures. The difficulty to determine unequivocal guidelines is due to the scarcity of randomized controlled trials to assess the effectiveness of prophylactic neck dissection. In this literature review we will explore data in favor and against prophylactic central neck dissection for patients with papillary thyroid carcinoma.

Original languageEnglish
Pages (from-to)511-515
Number of pages5
JournalHarefuah
Volume155
Issue number8
StatePublished - 1 Aug 2016

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