Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
World Journal of Surgery
Published in: World Journal of Surgery 10/2009

01-10-2009

Metastasis of Right Upper Para-Esophageal Lymph Nodes in Central Compartment Lymph Node Dissection of Papillary Thyroid Cancer

Authors: Byung-Joo Lee, Jin-Choon Lee, Soo-Geun Wang, Yong-Ki Kim, In-Ju Kim, Seok-Man Son

Published in: World Journal of Surgery | Issue 10/2009

Login to get access

Abstract

Background

Although some lymph nodes (upper para-esophageal lymph nodes) that exist between the right recurrent laryngeal nerve and the esophagus should be involved in central-compartment lymph node dissection (CLND) in patients with papillary thyroid cancer, the procedure can cause some injury to the nerve. We set out to assess the incidence of right upper para-esophageal lymph node metastasis after routine CLND.

Methods

Records from 123 patients with PTC who underwent total thyroidectomy with CLND were reviewed.

Results

Fourteen of 123 patients exhibited nodal metastasis in right upper para-esophageal lymph nodes. Metastasis of right upper para-esophageal lymph nodes was usually associated with lesions of the right thyroid, comparatively large tumor size (more than 1 cm), and lateral cervical lymph node metastasis (p < 0.05).

Conclusions

Right upper para-esophageal lymph nodes should be removed during operation for PTC in patients with lesions of the right thyroid gland, large tumor size, and lateral cervical lymph node metastasis.
Literature
1.
Cooper DS, Doherty GM, Haugen BR, For The American Thyroid Association Guidelines Taskforce et al (2006) Management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 16:109–142PubMedCrossRef
2.
Grebe SK, Hay ID (1996) Thyroid cancer nodal metastases: biologic significance and therapeutic consideration. Surg Oncol Clin North Am 5:43–63
3.
Machens A, Hinze R, Thomusch O et al (2002) Pattern of nodal metastasis for primary and reoperative thyroid cancer. World J Surg 26:22–28PubMedCrossRef
4.
Robbins KT, Clayman G, Levine PA et al (2002) Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg 128:751–758PubMed
5.
Grodski S, Cornford L, Sywak M et al (2007) Routine level VI lymph node dissection for papillary thyroid cancer: surgical technique. Aust N Z J Surg 77:203–208CrossRef
6.
Lee BJ, Wang SG, Lee JC et al (2007) Pattern of and factors related with central compartment lymph node metastasis in papillary thyroid carcinoma. Korean J Otolaryngol 50:346–350
7.
Lee SH, Lee SS, Jin SM et al (2008) Predictive factors for central compartment lymph node metastasis in thyroid papillary microcarcinoma. Laryngoscope 118:659–662PubMedCrossRef
8.
White ML, Gauger PG, Doherty GM (2007) Central lymph node dissection in differentiated thyroid cancer. World J Surg 31:895–904PubMedCrossRef
9.
Gemsenjäger E, Perren A, Seifert B et al (2003) Lymph node surgery in papillary thyroid carcinoma. J Am Coll Surg 197:182–190PubMedCrossRef
10.
Henry JF, Gramatica L, Denizot A et al (1998) Morbidity of prophylactic lymph node dissection in the central neck area in patients with papillary thyroid carcinoma. Langenbecks Arch Surg 383:167–169PubMed
11.
Rosato L, Avenia N, Bernante P et al (2004) Complications of thyroid surgery: analysis of a multicentric study on 14, 934 patients operated on in Italy over 5 years. World J Surg 28:271–276PubMedCrossRef
Metadata
Title
Metastasis of Right Upper Para-Esophageal Lymph Nodes in Central Compartment Lymph Node Dissection of Papillary Thyroid Cancer
Authors
Byung-Joo Lee
Jin-Choon Lee
Soo-Geun Wang
Yong-Ki Kim
In-Ju Kim
Seok-Man Son
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 10/2009
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-009-0149-5

Other articles of this Issue 10/2009

World Journal of Surgery 10/2009 Go to the issue

OriginalPaper

Impact of Obesity and Bariatric Surgery on Survival

OriginalPaper

Clinical and Pathologic Differences Between BRCA1-, BRCA2-, and Non-BRCA-Associated Breast Cancers in a Multiracial Developing Country

OriginalPaper

Obesity, Gut Hormones, and Bariatric Surgery

OriginalPaper

Do We Follow Evidence-Based Medicine Recommendations During Inguinal Hernia Surgery? Results of a Survey Covering 2441 Hernia Repairs in 2007

OriginalPaper

Predictive Factors for Rebleeding and Death in Alcoholic Cirrhotic Patients with Acute Variceal Bleeding: A Multivariate Analysis

OriginalPaper

Molecular Mechanisms of Obesity and Diabetes: At the Intersection of Weight Regulation, Inflammation, and Glucose Homeostasis