[Lymph node micrometastases of thyroid cancer].

Kaori Kameyama, Hiroshi Takami

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

It is not uncommon for micrometastases to be detected in the regional lymph nodes in patients with thyroid cancer. It remains controversial whether lymph node dissection improves patient outcomes. According to the clinical guidelines edited by the Japan Association of Endocrine Surgeons and Japanese Society of Thyroid Surgeons, there is no evidence that prophylactic central compartment dissection improves the cause-specific survival of papillary carcinoma patients. However, it is recommended at initial surgery because reoperation for recurrence in this compartment may induce severe complications. On the other hand, prophylactic lateral node dissection can reduce the risk of recurrence to the nodes and improve disease-free survival rates, although evidence is lacking on whether it improves cause-specific survival. Surgeons should be aware that pathologically identified metastatic lymph nodes are less common than actual metastatic lesions and determine the disease entity of ectopic thyroid tissue in lymph nodes. Recently, useful new techniques such as thyroglobulin measurement of fine-needle aspiration specimens or sentinel lymph node biopsy have become established.

Original languageEnglish
Pages (from-to)34-37
Number of pages4
JournalNihon Geka Gakkai zasshi
Volume114
Issue number1
Publication statusPublished - 2013 Jan

Fingerprint

Neoplasm Micrometastasis
Thyroid Neoplasms
Lymph Nodes
Dissection
Thyroid Dysgenesis
Recurrence
Choristoma
Sentinel Lymph Node Biopsy
Survival
Thyroglobulin
Papillary Carcinoma
Fine Needle Biopsy
Lymph Node Excision
Reoperation
Disease-Free Survival
Japan
Thyroid Gland
Survival Rate
Guidelines
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

[Lymph node micrometastases of thyroid cancer]. / Kameyama, Kaori; Takami, Hiroshi.

In: Nihon Geka Gakkai zasshi, Vol. 114, No. 1, 01.2013, p. 34-37.

Research output: Contribution to journalArticle

Kameyama, Kaori ; Takami, Hiroshi. / [Lymph node micrometastases of thyroid cancer]. In: Nihon Geka Gakkai zasshi. 2013 ; Vol. 114, No. 1. pp. 34-37.
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