title: Management of the neck in thyroid cancer.
abstract: The management of regional lymph nodes in thyroid carcinoma is guided by preoperative evaluation, histologic subtype, and often a consideration of data for potential benefit and morbidity of a neck dissection. The goal of lymphadenectomy is complete surgical resection of grossly evident metastatic disease and the removal of regional lymph node groups at highest risk for microscopic disease. Surgery should achieve disease eradication but preserve voice, airway, swallowing, and parathyroid function. This article discusses recommendations for addressing cervical lymph nodes in thyroid carcinoma, discusses current literature regarding the common histologic subtype (papillary carcinoma), and details our operative approach.
authors.affiliation: Department of Otolaryngology, Stanford University School of Medicine, Stanford Cancer Center, 875 Blake Wilbur Drive, Stanford, CA 94305-5820, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Schoppy
authors.affiliation: Department of Otolaryngology, Stanford University School of Medicine, Stanford Cancer Center, 875 Blake Wilbur Drive, Stanford, CA 94305-5820, USA. Electronic address: holsinger@stanford.edu.
authors.forename: F Christopher
authors.initials: FC
authors.lastname: Holsinger
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000473:pathology / Q000601:surgery; D002277:Carcinoma / Q000473:pathology / Q000601:surgery; D002291:Carcinoma, Papillary; D020212:Carotid Artery Injuries / Q000209:etiology; D002913:Chyle; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology / Q000628:therapy; D007011:Hypoparathyroidism / Q000209:etiology / Q000628:therapy; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods; D011182:Postoperative Care; D011183:Postoperative Complications / Q000628:therapy; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery*
keywords: Neck dissection; Paratracheal; Thyroid cancer