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갑상선유두암의 중심경부 림프절절제술

Central Neck Dissection for Papillary Thyroid Carcinoma

이형신|이강대
대한갑상선학회 (Korean Thyroid Association)|2014.11|International Journal of Thyroidology|제7권 제2호|pp. 140-148

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참고문헌

키워드

갑상선암Thyroid cancerPapillary thyroid carcinomaLymph node림프절Central neck dissection갑상선유두암중심경부 림프절절제술.
주제분류의학일반

초록

Considering the relatively good prognosis of papillary thyroid carcinoma, surgical treatment should be conducted with an adequate method and extent of surgery with minimal complications. The optimal indications and extent of central neck dissection in papillary thyroid carcinoma has been introduced by variable guidelines. However, there have been controversies in several aspects regarding central neck dissection (i.e., prophylactic versus therapeutic, unilateral versus bilateral), which will remain until a large prospective study is completed. Successful management of cervical lymph node metastasis in papillary thyroid carcinoma requires thorough preoperative evaluation, knowledge on adequate indications and extent of surgery and considerations on surgical anatomy. In this article, we reviewed the rationales for optimal central neck dissection in papillary thyroid carcinoma based on recent studies and presented the surgical strategy and skills based on personal experience of a single surgeon.

Abstract

Considering the relatively good prognosis of papillary thyroid carcinoma, surgical treatment should be conducted with an adequate method and extent of surgery with minimal complications. The optimal indications and extent of central neck dissection in papillary thyroid carcinoma has been introduced by variable guidelines. However, there have been controversies in several aspects regarding central neck dissection (i.e., prophylactic versus therapeutic, unilateral versus bilateral), which will remain until a large prospective study is completed. Successful management of cervical lymph node metastasis in papillary thyroid carcinoma requires thorough preoperative evaluation, knowledge on adequate indications and extent of surgery and considerations on surgical anatomy. In this article, we reviewed the rationales for optimal central neck dissection in papillary thyroid carcinoma based on recent studies and presented the surgical strategy and skills based on personal experience of a single surgeon.

참고문헌 (42)

  1. Guerrero MA, "Controversies in the management of papillary thyroid cancer revisited", ISRN Oncol, 2011, pp.303128~ (2011)
  2. Hughes DT, "Central neck dissection for papillary thyroid cancer", Cancer Control, 18(2), pp.83~88 (2011)
  3. Cisco RM, "Extent of surgery for papillary thyroid cancer: preoperative imaging and role of prophylactic and therapeutic neck dissection", Curr Treat Options Oncol, 13(1), pp.1~10 (2012)
  4. Clark OH, "Thyroid cancer and lymph node metastases", J Surg Oncol, 103(6), pp.615~618 (2011)
  5. Machens A, "Pattern of nodal metastasis for primary and reoperative thyroid cancer", World J Surg, 26(1), pp.22~28 (2002)
  6. Hay ID, "Papillary thyroid microcarcinoma: a study of 535 cases observed in a 50-year period", Surgery, 112(6), pp.1139~1146 (1992)
  7. Lundgren CI, "Clinically significant prognostic factors for differentiated thyroid carcinoma:a population-based, nested case-control study", Cancer, 106(3), pp.524~531 (2006)
  8. Harwood J, "Significance of lymph node metastasis in differentiated thyroid cancer", Am J Surg, 136(1), pp.107~112 (1978)
  9. Ito Y, "Lateral and mediastinal lymph node dissection in differentiated thyroid carcinoma: indications, benefits, and risks", World J Surg, 31(5), pp.905~915 (2007)
  10. Noguchi S, "Papillary thyroid carcinoma: modified radical neck dissection improves prognosis", Arch Surg, 133(3), pp.276~280 (1998)
  11. Zaydfudim V, "The impact of lymph node involvement on survival in patients with papillary and follicular thyroid carcinoma", Surgery, 144(6), pp.1070~1077 (2008)
  12. Stulak JM, "Value of preoperative ultrasonography in the surgical management of initial and reoperative papillary thyroid cancer", Arch Surg, 141(5), pp.489~494 (2006)
  13. Ahn JE, "Diagnostic accuracy of CT and ultrasonography for evaluating metastatic cervical lymph nodes in patients with thyroid cancer", World J Surg, 32(7), pp.1552~1558 (2008)
  14. Orloff LA, "Kuppersmith RB. American Thyroid Association's central neck dissection terminology and classification for thyroid cancer consensus statement", Otolaryngol Head Neck Surg, 142(1), pp.4~5 (2010)
  15. Grodski S, "Routine level VI lymph node dissection for papillary thyroid cancer: surgical technique", ANZ J Surg, 77(4), pp.203~208 (2007)
  16. Hartl DM, "Central compartment neck dissection for thyroid cancer: a surgical technique", World J Surg, 35(7), pp.1553~1559 (2011)
  17. Ito Y, "Clinical significance of metastasis to the central compartment from papillary microcarcinoma of the thyroid", World J Surg, 30(1), pp.91~99 (2006)
  18. Low TH, "Lymph node status influences follow-up thyroglobulin levels in papillary thyroid cancer", Ann Surg Oncol, 15(10), pp.2827~2832 (2008)
  19. Gemsenjager E, "Lymph node surgery in papillary thyroid carcinoma", J Am Coll Surg, 197(2), pp.182~190 (2003)
  20. Ito Y, "Preoperative ultrasonographic examination for lymph node metastasis: usefulness when designing lymph node dissection for papillary microcarcinoma of the thyroid", World J Surg, 28(5), pp.498~501 (2004)
  21. Moo TA, "Impact of prophylactic central neck lymph node dissection on early recurrence in papillary thyroid carcinoma", World J Surg, 34(6), pp.1187~1191 (2010)
  22. Tisell LE, "Improved survival of patients with papillary thyroid cancer after surgical microdissection", World J Surg, 20(7), pp.854~859 (1996)
  23. Wada N, "Lymph node metastasis from 259 papillary thyroid microcarcinomas: frequency, pattern of occurrence and recurrence, and optimal strategy for neck dissection", Ann Surg, 237(3), pp.399~407 (2003)
  24. Hughes DT, "Influence of prophylactic central lymph node dissection on postoperative thyroglobulin levels and radioiodine treatment in papillary thyroid cancer", Surgery, 148(6), pp.1100~1106 (2010)
  25. Sywak M, "Routine ipsilateral level VI lymphadenectomy reduces postoperative thyroglobulin levels in papillary thyroid cancer", Surgery, 140(6), pp.1000~1005 (2006)
  26. Kim MK, "Morbidity following central compartment reoperation for recurrent or persistent thyroid cancer", Arch Otolaryngol Head Neck Surg, 130(10), pp.1214~1216 (2004)
  27. Shen WT, "Central neck lymph node dissection for papillary thyroid cancer:the reliability of surgeon judgment in predicting which patients will benefit", Surgery, 148(2), pp.398~403 (2010)
  28. Steinmuller T, "Prognostic factors in patients with differentiated thyroid carcinoma", Eur J Surg, 166(1), pp.29~33 (2000)
  29. Shah MD, "Clinical course of thyroid carcinoma after neck dissection", Laryngoscope, 113(12), pp.2102~2107 (2003)
  30. Shen WT, "Central neck lymph node dissection for papillary thyroid cancer: comparison of complication and recurrence rates in 295initial dissections and reoperations", Arch Surg, 145(3), pp.272~275 (2010)
  31. Zetoune T, "Prophylactic central neck dissection and local recurrence in papillary thyroid cancer: a meta-analysis", Ann Surg Oncol, 17(12), pp.3287~3293 (2010)
  32. Forest VI, "Central compartment dissection in thyroid papillary carcinoma", Ann Surg, 253(1), pp.123~130 (2011)
  33. Shan CX, "Routine central neck dissection in differentiated thyroid carcinoma:a systematic review and meta-analysis", Laryngoscope, 122(4), pp.797~804 (2012)
  34. Chisholm EJ, "Systematic review and meta-analysis of the adverse effects of thyroidectomy combined with central neck dissection as compared with thyroidectomy alone", Laryngoscope, 119(6), pp.1135~1139 (2009)
  35. Roh JL, "Chyle leakage in patients undergoing thyroidectomy plus central neck dissection for differentiated papillary thyroid carcinoma", Ann Surg Oncol, 15(9), pp.2576~2580 (2008)
  36. Moo TA, "Ipsilateral versus bilateral central neck lymph node dissection in papillary thyroid carcinoma", Ann Surg, 250(3), pp.403~408 (2009)
  37. Koo BS, "Predictive factors for ipsilateral or contralateral central lymph node metastasis in unilateral papillary thyroid carcinoma", Ann Surg, 249(5), pp.840~844 (2009)
  38. Roh JL, "Is central neck dissection necessary for the treatment of lateral cervical nodal recurrence of papillary thyroid carcinoma?", Head Neck, 29(10), pp.901~906 (2007)
  39. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, "Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer", Thyroid, 19(11), pp.1167~1214 (2009)
  40. Stack BC Jr, "American Thyroid Association consensus review and statement regarding the anatomy, terminology, and rationale for lateral neck dissection in differentiated thyroid cancer", Thyroid, 22(5), pp.501~508 (2012)
  41. Sippel RS, "Localization of recurrent thyroid cancer using intraoperative ultrasound-guided dye injection", World J Surg, 33(3), pp.434~439 (2009)
  42. Triponez F, "Hook needle-guided excision of recurrent differentiated thyroid cancer in previously operated neck compartments: a safe technique for small, nonpalpable recurrent disease", J Clin Endocrinol Metab, 91(12), pp.4943~4947 (2006)

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