A Diagnostic Dilemma: Skip Metastasis in Papillary Thyroid Cancer.
Adult
Aged
Cohort Studies
Disease-Free Survival
Female
Humans
Lymph Node Excision
/ methods
Lymph Nodes
/ pathology
Lymphatic Metastasis
Male
Middle Aged
Multivariate Analysis
Neck Dissection
/ methods
Neoplasm Invasiveness
/ pathology
Neoplasm Staging
Odds Ratio
Predictive Value of Tests
Prognosis
Retrospective Studies
Risk Assessment
Survival Analysis
Thyroid Cancer, Papillary
/ mortality
Thyroid Neoplasms
/ mortality
Thyroidectomy
/ methods
Treatment Outcome
Journal
The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522
Informations de publication
Date de publication:
01 Mar 2020
01 Mar 2020
Historique:
entrez:
1
4
2020
pubmed:
1
4
2020
medline:
10
4
2020
Statut:
ppublish
Résumé
The frequency, pattern, and predictive factors for skip LN metastasis in patients with papillary thyroid carcinoma (PTC) remain controversial. In this study, we evaluated predictive factors of skip LN metastasis in these patients. We reviewed the medical records of 68 PTC patients who underwent total thyroidectomy, central neck dissection, and lateral neck dissection at the initial operation. The relationships between skip LN metastasis and clinicopathologic factors were analyzed. After careful examination of electronic medical records of patients, 19 patients were excluded from the study. Of the remaining 49 patients, 9 (18.4%) had skip LN metastasis. Multivariate analysis showed that tumor size <1 cm was an independent risk factor for the presence of skip metastasis (
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM