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- Title
Prophylactic central neck dissection in papillary carcinoma thyroid, a 14 years JPMC experience.
- Authors
Baloch, M. Naseem; Manzoor, Shahneela; Anwer, Mariyah
- Abstract
Objective:To assess the outcome of Extent of Lymph Node Dissection in Papillary Thyroid Cancer. Methodology:It was a retrospective study. The 14 years study was performed in general surgery ward-2 Endocrine clinic, JPMC, Karachi, from February 2002 to December 2015. Total 586 operated cases of papillary carcinoma thyroid out of which 213 patients underwent modified radical neck dissection (MRND) were excluded. The study included 373 patients underwent CND which were divided in two groups: those who had received a thyroidectomy with CND (group A, n=233) and those who had received thyroidectomy without CND (group B, n=140). Results: Among 373 Papillary Thyroid Cancer patients, Central node tumor metastasis found in 28% patients, recurrence in CND group and without CNDgroup was 3% and 12% respectively. The commonest symptom was lump and difficulty in swallowing. The duration of symptoms range between 6 months - 1 year. Average hospital stay was 3 days. Out of 373 patients, 48 (6.15%) patients had seroma, hypocalcemia (transient) 62 (7.9%), hematoma 16 (2%), wound infection 14 (1.79%) and Recurrent Laryngeal Nerve Injury was nil. Conclusion:Our study confirms decrease rate in recurrence in patients undergoing CND than those without it, hence CND should be offered to majority of patients of papillary thyroid cancer.
- Subjects
PAPILLARY carcinoma; NECK dissection; PATIENT safety; SURGERY safety measures; HEMATOMA; PATIENTS
- Publication
Pakistan Journal of Surgery, 2016, Vol 32, Issue 3, p126
- ISSN
0258-8552
- Publication type
Article