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Cited by 277

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

American Thyroid Association Consensus Review and Statement Regarding the Anatomy, Terminology, and Rationale for Lateral Neck Dissection in Differentiated Thyroid Cancer

Open access
Stack, Brendan C., Ferris, Robert L., Goldenberg, David, Haymart, Megan, Shaha, Ashok, Sheth, Sheila, Sosa, Julie Ann, Tufano, for the American Thyroid As, Ralph P.·2012·Thyroid
DOI 10.1089/thy.2011.0312
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Abstract

BACKGROUND: Cervical lymph node metastases from differentiated thyroid cancer (DTC) are common. Thirty to eighty percent of patients with papillary thyroid cancer harbor lymph node metastases, with the central neck being the most common compartment involved. The goals of this study were to: (1) identify appropriate methods for determining metastatic DTC in the lateral neck and (2) address the extent of lymph node dissection for the lateral neck necessary to control nodal disease balanced against known risks of surgery. METHODS: A literature review followed by formulation of a consensus statement was performed. RESULTS: Four proposals regarding management of the lateral neck are made for consideration by organizations developing management guidelines for patients with thyroid nodules and DTC including the next iteration of management guidelines developed by the American Thyroid Association (ATA). Metastases to lateral neck nodes must be considered in the evaluation of the newly diagnosed thyroid cancer patient and for surveillance of the previously treated DTC patient. CONCLUSIONS: Lateral neck lymph nodes are a significant consideration in the surgical management of patients with DTC. When current guidelines formulated by the ATA and by other international medical societies are followed, initial evaluation of the DTC patient with ultrasound (or other modalities when indicated) will help to identify lateral neck lymph nodes of concern. These findings should be addressed using fine-needle aspiration biopsy. A comprehensive neck dissection of at least nodal levels IIa, III, IV, and Vb should be performed when indicated to optimize disease control.

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Metadata

Authors
Stack, B. C., Ferris, R. L., Goldenberg, D., Haymart, M., Shaha, A., Sheth, S., Sosa, J. A., & Tufano, F. T. A. T. A.
Venue
Thyroid
Publisher
SAGE Publications
Published
2012-05
Volume
22
Issue
5
Pages
501-508
ISSN
  • 1050-7256 (ISSN-L)
  • 1557-9077
DOI
10.1089/thy.2011.0312
OpenAlex
W1981754660
Cited by
277
References
43
FWCI
15.42
Type
journal article
Language
en
Open access
green

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