SavedAdd your journal

Journals / Turkish Journal of Medical Sciences / 2019 / Cilt: 49 - Sayı: 1

Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas

Bülent ÖCAL
Erman ÇAKAL
Mehmet Eser SANCAKTAR
Güleser SAYLAM
Ahmet ULUAT
Ömer BAYIR
Mehmet Hakan KORKMAZ
Pages
217–221
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Upper pole tumors (UPT) metastasized to the central neck (CN) at a lower rate (17.6%)than middle (40.0%) or lower (48.5%) poles overall (P = 0.104), while it was at a significantly lower rate (13.3%) in the PTC group (P

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Backround/aim: Papillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes.
📊
Key Findings & Data:Our purpose was to investigatethe predictive role of tumor location for lymph node metastasis pattern in PTCs.Materials and methods: Medical records of 110 PTC patients were reviewed retrospectively.
💡
Conclusion & Impact:Upper pole tumors (UPT) metastasized to the central neck (CN) at a lower rate (17.6%)than middle (40.0%) or lower (48.5%) poles overall (P = 0.104), while it was at a significantly lower rate (13.3%) in the PTC group (P
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Backround/aim: Papillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes. Our purpose was to investigatethe predictive role of tumor location for lymph node metastasis pattern in PTCs.Materials and methods: Medical records of 110 PTC patients were reviewed retrospectively. Tumor location was determined as upper,middle, and lower pole according to ultrasonography (USG) findings. The effects of age, sex, tumor size, and location on lymph nodemetastasis were investigated.Results: The series comprised 87% females (n = 96) and 13% males (n = 14). Forty-three patients had central neck metastasis (CNM)and 14 had lateral neck metastasis (LNM). Upper pole tumors (UPT) metastasized to the central neck (CN) at a lower rate (17.6%)than middle (40.0%) or lower (48.5%) poles overall (P = 0.104), while it was at a significantly lower rate (13.3%) in the PTC group (P

🔖

Cite This Article

ÖCAL, B., ÇAKAL, E., SANCAKTAR, M. E., SAYLAM, G., ULUAT, A., BAYIR, Ö., KORKMAZ, M. H. (2022). Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas. Turkish Journal of Medical Sciences, Cilt: 49 - Sayı: 1, 217–221. https://ajindex.com/articles/610171

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Wang W, Gu J, Shang J, Wang K. Correlation analysis on central lymph node metastasis in 276 patients with cN0 papillary thyroid carcinoma. Int J Clin Exp Pathol 2013; 6: 510-515
  2. Wada N, Duh QY, Sugino K, Iwasaki H, Kameyama K, Mimura T, Ito K, Takami H, Takanashi Y. Lymph node metastasis from 259 papillary thyroid microcarcinomas: frequency, pattern of occurrence and recurrence, and optimal strategy for neck dissection. Ann Surg 2003; 237: 399-407
  3. Gambardella C, Tartaglia E, Nunziata A, Izzo G, Siciliano G, Cavallo F, Mauriello C, Napolitano S, Thomas G, Testa D et al. Clinical significance of prophylactic central compartment neck dissection in the treatment of clinically node-negative papillary thyroid cancer patients. World J Surg Oncol. 2016;14:247
  4. Yuan J, Zhao G, Du J, Chen X, Lin X, Chen Z, Wu Z. To identify predictors of central lymph node metastasis in patients with clinically node-negative conventional papillary thyroid carcinoma. Int J Endocrinol 2016; 2016: 6109218
  5. Nixon IJ, Shaha AR. Management of regional nodes in thyroid cancer. Oral Oncol 2013; 49: 671-675
  6. Hunt JP, Buchmann LO, Wang L, Abraham D. An analysis of factors predicting lateral cervical nodal metastases in papillary carcinoma of the thyroid. Arch Otolaryngol Head Neck Surg 2011; 137: 1141-1145
  7. Lee YS, Shin SC, Lim YS, Lee JC, Wang SG, Son SM, Kim IJ, Lee BJ. Tumor location dependent skip lateral cervical lymph node metastasis in papillary thyroid cancer. Head Neck 2014; 36: 887-891
  8. Adam MA, Pura J, Goffredo P, Dinan MA, Reed SD, Scheri RP, Hyslop T, Roman SA, Sosa JA. Presence and number of lymph node metastases are associated with compromised survival for patients younger than age 45 years with papillary thyroid cancer. J Clin Oncol 2015; 33: 2370-2375
  9. Liu FH, Kuo SF, Hsueh C, Chao TC, Lin JD. Postoperative recurrence of papillary thyroid carcinoma with lymph node metastasis. J Surg Oncol 2015; 112: 149-54
  10. Conzo G, Mauriello C, Docimo G, Gambardella C, Thomas G, Cavallo F, Tartaglia E, Napolitano S, Varriale R, Rossetti G et al. Clinicopathological pattern of lymph node recurrence of papillary thyroid cancer, implications for surgery. Int J Surg 2014; 12: S194-S197
  11. Sturgeon C, Yang A, Elaraj D. Surgical management of lymph node compartments in papillary thyroid cancer. Surg Oncol Clin N Am 2016; 25: 17-40
  12. Hall CM, Snyder SK, Maldonado YM, Lairmore TC. Routine central lymph node dissection with total thyroidectomy for papillary thyro