Thyroid Cancer pp 543-544 | Cite as

Surgical Management of Lymph Node Metastases

  • Gerard M DohertyEmail author


Lymph node metastases are common with some types of thyroid cancer, and less common with others. Papillary thyroid cancer quite commonly includes spread to the lymph nodes at presentation, which can be managed by operative resection, radioiodine therapy, or a combination of both. The management strategy for potential nodal disease depends first upon the identification of the disease when present. The preoperative documentation of nodal disease allows the patient and the surgeon to plan appropriate intervention. If the staging ultrasound does not show node metastases, then there should be an active evaluation of the central (level 6) lymph nodes during operation for evidence of metastasis.


Malignant thyroid tumors Papillary thyroid cancer Papillary adenocarcinoma Follicular adenocarcinoma Hürthle cell carcinoma Anaplastic thyroid cancer Lymph node metastases Surgical management Operative resection Radioiodine therapy 


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of SurgeryBoston Medical Center, Boston UniversityBostonUSA

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