Prophylactic Selective Lateral Neck Dissection in Patients With Papillary Thyroid Carcinoma
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Purpose
The purpose of this study is to prospectively analyze the incidence of occult lateral neck metastasis (LNM) and to elucidate the factors that predict LNM in papillary thyroid carcinoma (PTC) with central neck metastasis (CNM) by performing prophylactic selective lateral neck dissection (SND).
| Condition | Intervention |
|---|---|
|
Thyroid Neoplasm Lymphatic Metastasis |
Procedure: prophylactic selective lateral neck dissection |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | The Effectiveness of Prophylactic Selective Lateral Neck Dissection in Papillary Thyroid Carcinoma Patients With Central Neck Metastasis |
| Enrollment: | 62 |
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Procedure: prophylactic selective lateral neck dissection
The lymphatic drainage pattern of the thyroid is uniform and consistent, and therefore, metastatic patterns are relatively predictable. Initial nodal metastasis in PTC usually occurs in the paratracheal and pretracheal nodes in level VI of the central compartment of the ipsilateral neck and spreads to the lateral cervical lymph nodes. Macroscopic skip metastases to the lateral compartment of the neck in the absence of central disease are uncommon.
Eligibility| Ages Eligible for Study: | 20 Years to 76 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Papillary thyroid carcinoma with central neck metastasis
- No evidence of lateral neck metastasis as determined by high-resolution neck ultrasonography and computed tomography
Exclusion Criteria:
- History of previous thyroid operation
- Isthmic thyroid lesion
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Yun-Sung Lim, Pusan National University Hospital |
| ClinicalTrials.gov Identifier: | NCT01103557 History of Changes |
| Other Study ID Numbers: | PTC_CND_LND |
| Study First Received: | April 12, 2010 |
| Last Updated: | April 13, 2010 |
| Health Authority: | Korea: Institutional Review Board |
Keywords provided by Pusan National University Hospital:
|
Papillary thyroid carcinoma with neck metastasis neck dissection |
Additional relevant MeSH terms:
|
Neoplasms Carcinoma Thyroid Neoplasms Lymphatic Metastasis Neoplasm Metastasis Thyroid Diseases Neoplasms, Glandular and Epithelial |
Neoplasms by Histologic Type Endocrine Gland Neoplasms Neoplasms by Site Head and Neck Neoplasms Endocrine System Diseases Neoplastic Processes Pathologic Processes |
ClinicalTrials.gov processed this record on June 17, 2013