scholarly journals Multifocality is associated with central neck lymph node metastases in papillary thyroid microcarcinoma

2018 ◽  
Vol Volume 10 ◽  
pp. 1527-1533 ◽  
Author(s):  
Weihui Zheng ◽  
Kejing Wang ◽  
Junzhou Wu ◽  
Wendong Wang ◽  
Jinbiao Shang
Keyword(s):  
Lymph Node ◽  
Lymph Node Metastases ◽  
Papillary Thyroid Microcarcinoma ◽  
Central Neck ◽  
Papillary Thyroid ◽  
Neck Lymph Node ◽  
Thyroid Microcarcinoma ◽  
Node Metastases ◽  
Neck Lymph Node Metastases

The Surgical Management of Papillary Thyroid Microcarcinoma: A 162-Month Single-Center Experience of 273 Cases

2012 ◽  
Vol 78 (11) ◽  
pp. 1215-1218 ◽  
Author(s):  
Qingqing He ◽  
Dayong Zhuang ◽  
Luming Zheng ◽  
Ziyi Fan ◽  
Peng Zhou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lymph Node ◽  
Surgical Management ◽  
Lymph Node Metastases ◽  
Papillary Thyroid Microcarcinoma ◽  
Papillary Thyroid ◽  
Neck Lymph Node ◽  
Lateral Node ◽  
Thyroid Microcarcinoma ◽  
Node Metastases

The aim of this study was to evaluate outcomes for patients with papillary thyroid microcarcinoma (PTMC) treated at a single institution during a 162-month period and to determine which patients need aggressive treatment. Two hundred seventy-three patients with PTMC had subtotal or total thyroidectomy 1 prophylactic or therapeutic lymph node dissection. Clinical and histopathological characteristics of 273 patients were identified and statistically analyzed. The tumors were multifocal in 36.3 per cent of the patients with PTMCs. Fifty-six per cent had neck lymph node metastases at diagnosis. Large-sized tumor (over 5 mm), age older than 45 years, multifocality, bilaterality, and extrathyroidal extension were associated with subclinical central lymph node metastases. Ninety-six patients older than 45 years of age were upgraded from Stage I to III or IVA. Ten patients with lateral node recurrence or local recurrence in the residual thyroid had one or more risk factors. The high rates of multifocality and Level VI area subclinical lymph node metastasis were two important clinical and histopathological characteristics of PTMC. Patients who had one or more risk factors should receive more aggressive surgical management.

scholarly journals Risk factors for high-volume lymph node metastases in cN0 papillary thyroid microcarcinoma

Gland Surgery ◽  
2019 ◽  
Vol 8 (5) ◽  
pp. 550-556 ◽  
Author(s):  
Chunhao Liu ◽  
Yuewu Liu ◽  
Lei Zhang ◽  
Yunwei Dong ◽  
Shenbao Hu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lymph Node ◽  
Lymph Node Metastases ◽  
High Volume ◽  
Papillary Thyroid Microcarcinoma ◽  
Papillary Thyroid ◽  
Thyroid Microcarcinoma ◽  
Node Metastases
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