Dr.Tarek Said's Scientific Publications

Papillary Thyroid Carcinoma: Nodal Metastases

Mohamed H. El-Ghareeb, M.D., Tarek A. Said, M.D, and Bahaa I. Mounir, M.D.

The Departments of Surgery and Pathology, Faculty of Medicine, Cairo University

Med. J. Cairo Univ., Vol (67), No (2), June 1999: 449-453

This study was conducted on 12 patients with papillary thyroid carcinoma to determine the pattern of nodal metastases and the necessary extent of lymphadenectomy. 3 patients underwent total thyroidectomy and 9 patients underwent near-total thyroidectomy. All 12 patients underwent systematic lymphadenectomy of the  cervicocentral compartment; 8 patients underwent systematic lymphadenectomy of the homolateral cervicolateral compartment in addition. As regards the primary tumour; 3/12 were T1, 4/12 were T2, 1/12 was T3 and 4/12 were T4. The cervicocentral compartment was affected in 9/12 patients. Homolateral cervicolateral compartment nodal metastases were present in 5/12 patients. Contralateral cervicocentral compartment nodal metastases were present in 1/12 patients with a unilateral multifocal primary tumour T4. Due to the common involvement of the cervicocentral and the homolateral cervicolateral compartments with metastases in this study, systematic lymphadenectomy of these compartments is recommended in the treatment of papillary thyroid carcinoma in addition to the total or near-total thyroidectomy.
 
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