Feasibility and efficacy of neck dissections in patients with thyroid cancer
نویسندگان
چکیده
Results Reoperations covered I-VII neck levels. Radical neck dissection was performed in 20 patients, selective neck dissection (SND) in 31 patients. These included 16 central compartment (CC) and 10 mediastinal excisions. Postoperative complications were stated in 13 patients: 4 chyle leaks, 3 massive bleedings, 8 injuries of RLN, hypoparathyroidism in 22 patients, 2 patients died in perioperative period. Stimulated Tg<2mg/ml was observed in 7 patients with WDTC during the first control after neck dissection; in 6 patients Tg level decreased after operation; 7 patients had still notably elevated Tg levels (>30 ng/ml). None of the patients with medullary cancer achieved calcitonin level lower than 10 pg/ml; 9 patients developed distant metastases.
منابع مشابه
Tumor above the spinal accessory nerve in papillary thyroid cancer that involves lateral neck nodes: a common occurrence.
OBJECTIVE To describe the nature and extent of lateral neck node metastases from papillary thyroid cancer in relation to presenting physical examination and staging radiologic studies. DESIGN Retrospective study. SETTING Tertiary referral cancer center. PATIENTS Consecutive patients who underwent comprehensive neck dissection with or without concurrent thyroidectomy for well-differentiate...
متن کاملRadiation-induced Hypothyroidism in Head and Neck Malignancy
Background and Objective: Hypothyroidism is a known consequence of the external beam radiotherapy to the neck encompassing the thyroid gland for over 40 years. The aim of this study was to find out the incidence of hypothyroidism in patients with head and neck cancer treated with radiotherapy, when radia...
متن کاملبررسی تغییرات کلینیکی و آزمایشگاهی تیروئید پس از لارنژکتومی توتال در کانسر حنجره
Background: Hypothyroidism is a well-documented complication after treatment of laryngeal cancer and is particularly significant among patients undergoing laryngectomy. We investigated the frequency of hypothyroidism in patients treated with total laryngectomy for laryngeal cancer. We also evaluated the effect of neck radiotherapy on thyroid function after total laryngectomy for laryngeal cance...
متن کاملخصوصیات دموگرافیک و ریسک فاکتورها در 320 مورد کانسر تیروئید
Background: Thyroid cancer is a rare disease which includes less than 1% percent of all human cancers. The aim of this study is to evaluate the demographic characteristics and risk factors among patients with thyroid malignancy at the Cancer institute and Imam Khomeini hospital in Tehran Iran. Methods: This is a retrospective descriptive study of the charts of 320 patients admitted with t...
متن کاملLymph node dissection in papillary thyroid carcinoma.
The management of papillary thyroid carcinoma continues to evolve. Although the debate over the extent of thyroidectomy has largely faded, the role of elective neck dissection in the surgical management of papillary thyroid cancer has become a topic of contention. The current standard of care for patients with papillary thyroid cancer includes total thyroidectomy and a therapeutic lymph node di...
متن کامل