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KMID : 0390220230340040159
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2023 Volume.34 No. 4 p.159 ~ p.166
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Dissection of Right Upper Paraesophageal Lymph Node for Management of Recurrent Nodal Lesion in Papillary Thyroid Cancer (PTC)
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Kim Sung-Dong
Cho Young-Jin
Cheon Yong-Il
Shin Sung-Chan
Lee Byung-Joo
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Abstract
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Background and Objectives: Although there is several published research about right upper paraesophageal lymph node (RUPELN) for the initial surgery in papillary thyroid cancer (PTC), reports of RUPELN in recurrent PTC are sparse.
This study investigates the incidence of RUPELN metastasis and the complications of reoperation for management of recurrent nodal lesion in PTC.
Materials and Methods: This is a retrospective study of 50 patients who underwent therapeutic or prophylactic central-compartment neck dissection (CCND) between Jan. 2005 and Dec. 2013.
Results: Thirty-four among 36 patients (94.4%) who underwent therapeutic right CCND were found to have metastatic central compartment lymph node (CCLN). Eleven of 36 patients (30.6%) who underwent dissection for RUPELN exhibited nodal metastasis. Four among 14 patients (28.6%) who underwent prophylactic right CCND had metastatic CCLN in recurrent or persistent nodal PTC. Two of 14 patients (14.3%) who underwent prophylactic dissection for RUPELN had lymph node metastases.
Conclusion: The dissection of RUPELN should be considered during right CCND for management of recurrent or persistent nodal lesion in patients with PTC.
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KEYWORD
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Thyroid cancer, Reoperation, Lymph node excision, Paraesophageal lymph node
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