Impact of prophylactic central neck dissection on oncologic outcomes of papillary thyroid carcinoma: a review

被引：0

作者：

Elisabeth Mamelle

Isabelle Borget

Sophie Leboulleux

Haïtham Mirghani

Carlos Suárez

Phillip K. Pellitteri

Ashok R. Shaha

Marc Hamoir

K. Thomas Robbins

Avi Khafif

Juan P. Rodrigo

Carl E. Silver

Alessandra Rinaldo

Alfio Ferlito

Dana M. Hartl

机构：

[1] Paris-Sud University,Thyroid Surgery Unit, Department of Head and Neck Oncology, Institut Gustave Roussy

[2] Paris-Sud University,Biostatistics and Epidemiology Unit, Department of Clinical Research, Institut Gustave Roussy

[3] Paris-Sud University,Department of Nuclear Medicine and Endocrine Oncology, Institut Gustave Roussy

[4] Hospital Universitario Central de Asturias,Department of Otolaryngology

[5] Instituto Universitario de Oncología del Principado de Asturias,Department of Otolaryngology

[6] Guthrie Health System,Head and Neck Surgery

[7] Memorial Sloan-Kettering Cancer Center,Department of Head and Neck Service

[8] St Luc University Hospital and Cancer Center,Department of Head and Neck Surgery, Head and Neck Oncology Program

[9] Southern Illinois University School of Medicine,Division of Otolaryngology

[10] A.R.M. Center for Advanced Otolaryngology Head and Neck Surgery,Head and Neck Surgery

[11] Assuta Medical Center,Head and Neck Surgery and Oncology Unit

[12] Albert Einstein College of Medicine,Departments of Surgery and Otolaryngology

[13] Montefiore Medical Center,Head and Neck Surgery

[14] University of Udine School of Medicine,undefined

来源：

European Archives of Oto-Rhino-Laryngology | 2015年 / 272卷

关键词：

Lymph node metastasis; Prophylactic neck dissection; Papillary thyroid carcinoma; Recurrence-free survival; Radioactive iodine;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Prophylactic neck dissection (PND) for papillary thyroid carcinoma (PTC) is controversial. Our aim was to assess current levels of evidence (LE) according to the Oxford Centre for Evidence-based Medicine (http://www.cebm.net/?O=1025) regarding the oncologic benefits of PND. Data were analyzed via MEDLINE keywords: PTC, differentiated thyroid carcinoma, PND, central lymph node metastases, central compartment, recurrence-free survival. There was conflicting evidence regarding the rate of reoperation for recurrence, with some studies showing a lower rate after PND with increased recurrence-free survival and a higher rate of undetectable pre- and post-ablation thyroglobulin levels (LE 4), whereas other studies did not show a difference (LE 4). Only one study (LE 4) showed improved disease-specific survival with PND. PND may improve recurrence-free survival, although this is supported by only a low LE. Current recommendations can only be based on low-level evidence.

引用

页码：1577 / 1586

页数：9

共 50 条

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