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KMID : 1202020140070020140
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Journal of Korean Thyroid Association
2014 Volume.7 No. 2 p.140 ~ p.148
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Central Neck Dissection for Papillary Thyroid Carcinoma
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Lee Kang-Dae
Lee Hyeong-Shin
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Abstract
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Considering the relatively good prognosis of papillary thyroid carcinoma, surgical treatment should beconducted with an adequate method and extent of surgery with minimal complications. The optimalindications and extent of central neck dissection in papillary thyroid carcinoma has been introduced byvariable guidelines. However, there have been controversies in several aspects regarding central neckdissection (i.e., prophylactic versus therapeutic, unilateral versus bilateral), which will remain until a largeprospective study is completed. Successful management of cervical lymph node metastasis in papillary thyroidcarcinoma requires thorough preoperative evaluation, knowledge on adequate indications and extent ofsurgery and considerations on surgical anatomy. In this article, we reviewed the rationales for optimal centralneck dissection in papillary thyroid carcinoma based on recent studies and presented the surgical strategyand skills based on personal experience of a single surgeon.
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KEYWORD
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Thyroid cancer, Papillary thyroid carcinoma, Lymph node, Central neck dissection
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