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Prophylactic central neck dissection has no advantage in patients with metastatic papillary thyroid cancer to the lateral neck

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Papillary thyroid cancer (PTC) usually metastasizes via lymphatic channels in a sequential fashion, first to the central compartment, followed by the lateral neck. PTC patients diagnosed with lateral neck disease… Click to show full abstract

Papillary thyroid cancer (PTC) usually metastasizes via lymphatic channels in a sequential fashion, first to the central compartment, followed by the lateral neck. PTC patients diagnosed with lateral neck disease (N1b) without proof for central involvement traditionally undergo prophylactic central neck dissection (pCND). However, substantial evidence on outcomes to support this approach is lacking.

Keywords: prophylactic central; papillary thyroid; neck; thyroid cancer; lateral neck; central neck

Journal Title: Journal of Surgical Oncology
Year Published: 2020

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