医学
神秘的
解剖(医学)
颈淋巴结清扫术
淋巴结
甲状腺癌
普通外科
外科
重症监护医学
癌症
内科学
病理
替代医学
作者
Robert Mechera,Isabella Maréchal-Ross,Stan Sidhu,Peter Campbell,Mark Sywak
标识
DOI:10.1016/j.soc.2022.10.012
摘要
Lymph node metastasis in thyroid cancer is common and associated with an increased risk of locoregional recurrence (LRR). Although therapeutic central neck dissection is well established, prophylactic central node dissection (pCND) for microscopic occult nodal involvement is controversial and recommendations are based on low-level evidence. The potential benefits of pCND such as reducing LRR and re-operation, refining staging, and improving surveillance are enthusiastically debated and the decision to perform pCND must be weighed up against the increased risks of complications.
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