Management of the neck in differentiated thyroid cancer.
Differentiated thyroid cancer is characterized by an excellent long-term prognosis, which unlike other head and neck carcinomas, is not influenced definitively by regional lymph node metastasis. The relative rarity of the disease, together with its tendency for delayed metastasis and its low mortality, makes a prospective randomized trial comparing treatment outcomes difficult. As a result, the effect of cervical lymph node metastases on survival is unclear, making meaningful recommendations for their management somewhat subjective. This article discusses guidelines for the management of the neck in differentiated.
Cognetti
David M
DM
Department of Otolaryngology--Head and Neck Surgery, University of Pittsburgh Medical Center, Suite 500, Eye and Ear Building, 203 Lothrop Street, Pittsburgh, PA 15213, USA. david.cognetti@gmail.com
Pribitkin
Edmund A
EA
Keane
William M
WM
D044963:Biopsy, Fine-Needle; D018450:Disease Progression; D006801:Humans; D009333:Neck / Q000473:pathology / Q000601:surgery*; D009362:Neoplasm Metastasis / Q000503:physiopathology; D011379:Prognosis; D012008:Recurrence; D021701:Sentinel Lymph Node Biopsy; D013964:Thyroid Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*