We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Efficacy of prophylactic central neck dissection in hemithyroidectomy for papillary thyroid carcinoma.
- Authors
Jin, Seok Hyun; Kim, In-Sik; Ji, Yong Bae; Song, Chang Myeon; Chung, Min Sung; Tae, Kyung
- Abstract
Purpose: To evaluate the efficacy of prophylactic central neck dissection (pCND) in hemithyroidectomy for clinically node-negative papillary thyroid carcinoma (PTC). Methods: We retrospectively analyzed 299 patients who underwent thyroid lobectomy with or without pCND for unilateral PTC. Of the 299 patients, 245 (81.9%) underwent unilateral pCND along with lobectomy, and 54 (18.1%) patients underwent lobectomy without pCND. Propensity score matching was performed for five covariates to reduce selection bias. Results: In the baseline cohort of 299 patients, mean age, extrathyroidal extension, T classification and stage were higher in the cases undergoing pCND than in those not undergoing pCND. After propensity score matching, the significant differences between the two groups seen in the baseline cohort disappeared. Recurrence rates and recurrence-free survival curves did not differ between the 2 matched groups each of 54 patients. Conclusion: The value of pCND in hemithyroidectomy for PTC is limited.
- Subjects
PAPILLARY carcinoma; THYROID cancer; NECK dissection; PROPENSITY score matching; HEMITHYROIDECTOMY
- Publication
European Archives of Oto-Rhino-Laryngology, 2020, Vol 277, Issue 3, p873
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-019-05744-7