Clinical Examination and Ultrasonography as Predictors of Lateral Neck Lymph Nodes Metastasis in Primary Well Differentiated Thyroid Cancer

• 作者: Anwar Tawfik Amin Haisam Atta Khalid M. Rezk
• 来源期刊: 癌症治疗(英文)
• 学科: 医学
• 关键词: THYROID CERVICAL LYMPHADENECTOMY THYROID Carcinoma NECK ULTRASONOGRAPHY
• 年，卷（期）: azzlyw_2018,（1）
• 页码范围: 55-63
• 页数: 9页
• 分类号: R73

摘要

Background: Lateral neck dissection is risky and should be performed only as a therapeutic intervention for known disease. Aim of the Study: This study aims at finding predictors which help in selecting patients who have high risk of lymph node metastasis. Methods: All the patients with well differentiated thyroid cancer underwent thyroidectomy with lateral lymph nodes (LNs) dissection with available pathology report and sufficient data have been included in the study. Results: Sixty nine patients have been included in this study. In multivariate analysis, the most reliable and significant factors for detecting L.N. involvement were the clinical picture and the U/S appearance of the Neck with P value of (0.008) and (0.001) respectively. Conclusion: Clinical and U/S examinations are the most independent and reliable factors to detect lateral neck lymph nodes involvement.