[The influence of regional metastases on prognosis in papillary cancer of the thyroid gland].
The author analyses a group of 2917 patients with papillary carcinoma of the thyroid gland, on 2210 of them (75.5%) a modified neck dissection was performed, 268 (9.2%) underwent central lymphodissection, in 449 (15.3%) the lymph nodes were not ablated. The signs correlating with the presence of regional metastases are discussed. The influence of the tumor size, invasion of the surrounding tissues and the presence of regional metastases on the prognosis for life and recovery is considered. Advantages of the modified cervical dissection which is thought to be the best method for treatment of a local recurrence of papillary carcinoma, safe and followed by a minimal number of complications when fulfilled by an experienced surgeon are discussed.
Noguchi
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D002291:Carcinoma, Papillary / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011379:Prognosis; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery*