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Lymph node surgery in papillary thyroid carcinoma.

Authors
  • Gemsenjäger, Ernst
  • Perren, Aurel
  • Seifert, Burkhardt
  • Schüler, Georges
  • Schweizer, Ingrid
  • Heitz, Philipp U
Type
Published Article
Journal
Journal of the American College of Surgeons
Publisher
Elsevier
Publication Date
Aug 01, 2003
Volume
197
Issue
2
Pages
182–190
Identifiers
PMID: 12892795
Source
Medline
License
Unknown

Abstract

The rate of occult nodal disease might be relatively low, and it does not frequently progress to clinical recurrent disease. Clinical nodal status might be valid for deciding the extent and radicality of node dissection. Prophylactic (central) lymphadenectomy should be carried out without radicality-associated morbidity. Macroscopic nodal disease warrants more rigorous, compartment-oriented lymphadenectomy. There is no rationale for detection of occult disease and micrometastasis by frozen section or immunohistochemistry.

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