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Modified Radical Neck Dissection

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Illustrative Handbook of General Surgery

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Abstract

All patients with a diagnosis of thyroid cancer should have a complete preoperative ultrasound of the central and lateral compartments of the neck, with a clear documentation of the description and location of suspicious lymph nodes using the standard nomenclature. Fine needle aspiration biopsy of suspicious lymph nodes should be performed preoperatively in order to guide the extent of surgery. Papillary and medullary thyroid cancers frequently metastasize to the cervical lymph nodes. Thyroid cancer nodal metastases are best treated with formal compartmental clearance. For metastatic thyroid cancer within the lateral neck, the authors perform a formal nodal clearance of levels IIA, III, IV, and VB. The standard nomenclature, preoperative preparation, steps of the dissection, and postoperative care are described.

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Author information

Authors and Affiliations

  1. Department of Surgery, Section of Endocrine Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 650, Chicago, IL, 60611, USA

    Cord Sturgeon MD, MS & Dina M. Elaraj MD

Authors
  1. Cord Sturgeon MD, MS
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  2. Dina M. Elaraj MD
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Corresponding author

Correspondence to Cord Sturgeon MD, MS .

Editor information

Editors and Affiliations

  1. University of Wisconsin, Madison, Wisconsin, USA

    Herbert Chen

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© 2016 Springer International Publishing Switzerland

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Sturgeon, C., Elaraj, D.M. (2016). Modified Radical Neck Dissection. In: Chen, H. (eds) Illustrative Handbook of General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-24557-7_3

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  • DOI: https://doi.org/10.1007/978-3-319-24557-7_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24555-3

  • Online ISBN: 978-3-319-24557-7

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