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European Archives of Oto-Rhino-Laryngology

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01-03-2020 | Hypoparathyroidism | Head and Neck

Efficacy of prophylactic central neck dissection in hemithyroidectomy for papillary thyroid carcinoma

Authors: Seok Hyun Jin, In-Sik Kim, Yong Bae Ji, Chang Myeon Song, Min Sung Chung, Kyung Tae

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2020

Abstract

Purpose

To evaluate the efficacy of prophylactic central neck dissection (pCND) in hemithyroidectomy for clinically node-negative papillary thyroid carcinoma (PTC).

Methods

We retrospectively analyzed 299 patients who underwent thyroid lobectomy with or without pCND for unilateral PTC. Of the 299 patients, 245 (81.9%) underwent unilateral pCND along with lobectomy, and 54 (18.1%) patients underwent lobectomy without pCND. Propensity score matching was performed for five covariates to reduce selection bias.

Results

In the baseline cohort of 299 patients, mean age, extrathyroidal extension, T classification and stage were higher in the cases undergoing pCND than in those not undergoing pCND. After propensity score matching, the significant differences between the two groups seen in the baseline cohort disappeared. Recurrence rates and recurrence-free survival curves did not differ between the 2 matched groups each of 54 patients.

Conclusion

The value of pCND in hemithyroidectomy for PTC is limited.

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Title: Efficacy of prophylactic central neck dissection in hemithyroidectomy for papillary thyroid carcinoma
Authors: Seok Hyun Jin
In-Sik Kim
Yong Bae Ji
Chang Myeon Song
Min Sung Chung
Kyung Tae
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keywords: Hypoparathyroidism
Neck Dissection
Hemithyroidectomy
Thyroidectomy
Hemithyroidectomy
Thyroidectomy
Published in: European Archives of Oto-Rhino-Laryngology / Issue 3/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05744-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Efficacy of prophylactic central neck dissection in hemithyroidectomy for papillary thyroid carcinoma

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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