J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 314KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(10): 1108-1111, 1993

Original article

REGIONAL LYMPH NODE RECURRENCE IN PATIENTS WITH PAPILLARY THYROID CARCINOMA WHO DID NOT UNDERGO NECK DISSECTION

1) Ito Hospital, Tokyo, Japan
2) First Department of Surgery, School of Medicine, Yokohama City University, Yokohama, Japan

Kiminori Sugino1), Yoshio Kure2), Kunihiko Ito1), Takashi Mimura1), Osamu Ozaki1)

It is important and difficult problem to manage patients with thyroid nodules which are indeterminate as papillary thyroid carcinoma (PTC) before surgery and identified as PTC after surgery. This paper highlighted whether immediate reoperation for such patients should be undergone or not. The prognosis of 196 patients with PTC who underwent lobectomy or subtotal thyroidectomy without neck dissection were studied (non-dissection group). The controls consisted of 783 patients with non-advanced PTC who underwent radical surgery during the same period (dissection group). There was no death due to PTC in both groups. Distant metastasis was observed 1.5% in non-dissection group and 2.2% in the dissection group. Local recurrence was observed 9.7% in the nondissection group and 11.2% in the dissection group. The results suggested that immediate reoperation for the patient's who did not undergo neck dissection,is not necessary. It is thought that all of lymph node metastasis detected only by histology does not always behave in same.

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