TY - JOUR
T1 - The sensitivity of preoperative scanning in regional recurrence of papillary thyroid cancer
AU - Khafif, Avi
AU - Ben-Yosef, Rami
AU - Kesler, Ada
AU - Trejo-Laider, Leonor
AU - Landsberg, Roee
AU - Patchornik, Hanna
AU - Even-Sapir, Einat
AU - Fliss, Dan M.
PY - 2007/9
Y1 - 2007/9
N2 - Background: The treatment of patients with regionally recurrent papillary carcinoma of the thyroid is a matter of controversy. Radioactive nodal picking was proposed as an alternative to neck dissection in these patients. Methods: We analyzed neck dissection specimens in 20 patients with PTC and compared the results to preoperative total-body scan (TBS) following a therapeutic dose of I131and ultrasonographic findings. Results: Eighteen patients underwent paratracheal neck dissection and 10 patients had a lateral neck dissection. Preoperative TBS detected the correct number of positive nodes in only 1 patient (5%) and the correct number of patients with positive nodes in 6/20 (30%) of the patients. US detected 32/98 positive nodes (36%) and 20/20 (100%) of the patients. Prediction of the number of positive nodes for both TBS and US was low (5% and 10%, respectively). Conclusions: Preoperative TBS and/or US cannot satisfactorily predict metastatic lymph node involvement and cannot safely delineate limited surgery to replace formal neck dissection in patients with regionally recurrent PTC.
AB - Background: The treatment of patients with regionally recurrent papillary carcinoma of the thyroid is a matter of controversy. Radioactive nodal picking was proposed as an alternative to neck dissection in these patients. Methods: We analyzed neck dissection specimens in 20 patients with PTC and compared the results to preoperative total-body scan (TBS) following a therapeutic dose of I131and ultrasonographic findings. Results: Eighteen patients underwent paratracheal neck dissection and 10 patients had a lateral neck dissection. Preoperative TBS detected the correct number of positive nodes in only 1 patient (5%) and the correct number of patients with positive nodes in 6/20 (30%) of the patients. US detected 32/98 positive nodes (36%) and 20/20 (100%) of the patients. Prediction of the number of positive nodes for both TBS and US was low (5% and 10%, respectively). Conclusions: Preoperative TBS and/or US cannot satisfactorily predict metastatic lymph node involvement and cannot safely delineate limited surgery to replace formal neck dissection in patients with regionally recurrent PTC.
UR - http://www.scopus.com/inward/record.url?scp=34548237862&partnerID=8YFLogxK
U2 - 10.1016/j.otohns.2007.04.010
DO - 10.1016/j.otohns.2007.04.010
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C2 - 17765767
AN - SCOPUS:34548237862
SN - 0194-5998
VL - 137
SP - 412
EP - 415
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 3
ER -
