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Authors

Tulin Adrian, Prof. Dr. Agrippa Ionescu Emergency Hospital, Department of General Surgery, Bucharest, Romania
Lucian Alecu, Prof. Dr. Agrippa Ionescu Emergency Hospital, Department of General Surgery, Bucharest, RomaniaFollow
Catalina Poiana, Carol Davila University of Medicine and Pharmacy, C.I. Parhon Institute of Endocrinology, Bucharest, Romania
Luminita Tomescu, Professor Dr. Agrippa Ionescu Emergency Hospital, Department of Radiology and Imaging, Bucharest, Romania
Iulian Slavu, Prof. Dr. Agrippa Ionescu Emergency Hospital, Department of General Surgery, Bucharest, RomaniaFollow
Raluca Tulin, Professor Dr. Agrippa Ionescu Emergency Hospital, Department of Endocrinology, Bucharest, Romania
Silviu Pituru, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Cristina Orlov, Elias University Emergency Hospital, Department of Medical Oncology, Bucharest, RomaniaFollow
Radu Jecan, Professor Dr. Agrippa Ionescu Emergency Hospital, Department of Plastic Surgery, Bucharest, Romania
Balalau Cristian, Carol Davila University, St. Pantelimon Emergency Hospital, Department of General Surgery, Bucharest, Romania
Anca Pantea Stoian, Carol Davila University of Medicine and Pharmacy, Department of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania
Razvan Hainarosie, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Cornelia Nitipir, Carol Davila University, Department of Oncology, Elias University Emergency Hospital, Bucharest, RomaniaFollow

DOI

10.22543/7674.52.P278283

Abstract

There is ongoing debate regarding the role of neck dissection in differentiated thyroid cancer, about its usefulness in elective settings, and the increased costs regarding morbidity and operative time. This retrospective study aimed to determine the rate of metastases in cervical lymph nodes, to examine the morbidity of this surgery, and to assess whether a pattern of distribution of tumor cells concerning neck lymphatic compartments exists. The most frequent type of cancer to metastasize was papillary cancer, the majority of patients were young with a median of 30 years, predominantly females. Differentiated thyroid cancer frequently metastasizes to the central and lateral compartments of the neck. The morbidity is minimal in a high-volume center. Radical neck dissection is safe and feasible in selected patients with confirmed invaded or enlarged lymph nodes due to differentiated thyroid cancer, and postoperative complications are minimal if the anatomy is correctly identified and the cases strictly selected.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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