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European Archives of Oto-Rhino-Laryngology

, Volume 254, Supplement 1, pp S169–S174 | Cite as

Surgical treatment strategy for thyroid gland carcinoma nodal metastases

  • J. Betka
  • L. Mrzena
  • J. Astl
  • J. Němec
  • P. Vlček
  • M. Taudy
  • J. Skřivan
Head and Neck

Abstract

The authors present their experience with surgical treatment for nodal metastases of thyroid carcinoma based on neck dissections. The specificity of the surgical approach to the lymph nodes was determined by the biologic behavior of each thyroid tumor. Using the available literature on metastases from thyroid tumors, an opinion is supported that surgery for differentiated carcinomas (papillary and follicular neoplasms) can be more conservative and can be safely limited to modified neck dissections. In contrast, a more extended type of selective neck dissection, and only rarely a comprehensive neck dissection, is needed for medullary carcinoma. Because of its rapid spread to distant sites local aggressivity, extirpation of individual lymph nodes or neck dissection is not justified in patients with anaplastic thyroid carcinoma.

Key words

Thyroid gland carcinoma Nodal metastases Neck dissection 

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • J. Betka
    • 1
  • L. Mrzena
    • 1
  • J. Astl
    • 1
  • J. Němec
    • 2
    • 3
  • P. Vlček
    • 2
  • M. Taudy
    • 1
  • J. Skřivan
    • 1
  1. 1.Department of Otorhinolaryngology, Head and Neck Surgery The First Medical FacultyGeneral Faculty Hospital, Charles UniversityPragueCzech Republic
  2. 2.Clinic of Nuclear Medicine The Second Medical FacultyCharles UniversityPragueCzech Republic
  3. 3.Institute of EndocrinologyPragueCzech Republic

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