Prognosis of Patients with Papillary Thyroid Carcinoma with Lateral Node Metastasis
Author Information
Author(s): Yasuhiro Ito, Takuya Higashiyama, Yuuki Takamura, Kaoru Kobayashi, Akihiro Miya, Akira Miyauchi
Primary Institution: Kuma Hospital
Hypothesis
What are the clinicopathological features and prognosis of patients with papillary thyroid carcinoma located in one lobe showing contralateral but not ipsilateral lateral node metastasis?
Conclusion
Patients with papillary thyroid carcinoma located in one lobe with contralateral but not ipsilateral lateral node metastasis generally show a mild behavior and do not experience recurrence.
Supporting Evidence
- None of the patients developed carcinoma recurrence or died of carcinoma during the follow-up period.
- Most patients had central node metastasis and/or minute PTC lesions in the contralateral lobe.
- The study suggests that total thyroidectomy with central node dissection and therapeutic MND of the contralateral side is an acceptable surgical design.
Takeaway
This study looked at patients with a type of thyroid cancer that spread to the other side of the neck but not the same side as the tumor, and found that they usually do not have serious problems.
Methodology
The study reviewed records of 13 patients who underwent surgery for papillary thyroid carcinoma and had contralateral lateral node metastasis detected preoperatively.
Limitations
The study is limited by the small sample size and the rarity of the condition being studied.
Participant Demographics
53% male, ages ranged from 24 to 71 years with an average age of 52 years.
Digital Object Identifier (DOI)
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