International journal of thyroidology

Korean Thyroid Association (대한갑상선학회)
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Surgery for Advanced Nodal Metastasis in Thyroid Cancer

갑상선암에서 진행된 림프절 전이에 대한 수술적 치료

  • Park, Min Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Kangdong Sacred Heart Hospital, Ilsong Memorial Head and Neck Thyroid Cancer Hospital, Hallym University College of Medicine) ;
  • Rho, Young Soo (Department of Otorhinolaryngology-Head and Neck Surgery, Kangdong Sacred Heart Hospital, Ilsong Memorial Head and Neck Thyroid Cancer Hospital, Hallym University College of Medicine)
  • 박민우 (한림대학교 의과대학 강동성심병원 이비인후과학교실) ;
  • 노영수 (한림대학교 의과대학 강동성심병원 이비인후과학교실)
  • Received : 2018.09.20
  • Accepted : 2018.11.22
  • Published : 2018.11.30
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Abstract

Metastases to regional cervical lymph nodes occur frequently in patients with thyroid cancer. The appropriate management of regional lymph node is important to achieve good disease control and to classify risk stratification for adjuvant radioactive iodine. However, there are some occasions that neck dissection is difficult and embarrassing in thyroid cancer. Especially, extensive or unusual nodal metastases bring challenges and makes neck dissection more difficult. Carotid artery management is one of the most difficult procedure in neck dissection. The management of patients who have persistent or recurrent cervical metastasis involving the carotid artery has been controversial and treatment dilemma to the surgeon. Metastasis of well differentiated thyroid cancer to the retropharyngeal lymph nodes is rare but occasionally encountered. The complete surgical excision is usually recommended for retropharyngeal lymph node metastasis of well differentiated thyroid cancer. An extensive mediastinal dissection in advanced differentiated thyroid carcinoma is occasionally required. This paper will review recent reports of management of advanced nodal metastasis of thyroid cancer and share the author's personal experience.

Keywords

References

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