TY - JOUR
T1 - Risk factors for local recurrence following lateral neck dissection for papillary thyroid carcinoma
AU - Raffaelli, Marco
AU - De Crea, Carmela
AU - Sessa, Luca
AU - Tempera, Serena Elisa
AU - Belluzzi, Amanda
AU - Lombardi, Celestino Pio
AU - Bellantone, Rocco Domenico Alfonso
PY - 2019
Y1 - 2019
N2 - Purpose: We aimed to evaluate risk factors for local recurrence following lateral neck dissection (LND) for papillary thyroid carcinoma (PTC). Methods: Two hundred and nine patients who underwent therapeutic primary or reoperative LND for PTC were included. Results: One hundred eighty-one patients underwent primary LND at our Institution, the remaining 28 were referred for recurrence following LND outside the Institution. Comparing patients who required reoperation for recurrent lateral neck disease with those who did not recur, no significant difference was found concerning sex, tumor size, multifocal disease, extracapsular invasion, histological variant, pT stage (P = NS). At univariate analysis, age, mean number of removed lateral neck nodes at first operation, the extent of initial LND and surgery performed outside the Institution were risk factors for recurrence (P < 0.001). Conclusions: Limited LND and surgery performed at non referral Centers were non tumor-related risk factors for recurrence following therapeutic LND for PTC.
AB - Purpose: We aimed to evaluate risk factors for local recurrence following lateral neck dissection (LND) for papillary thyroid carcinoma (PTC). Methods: Two hundred and nine patients who underwent therapeutic primary or reoperative LND for PTC were included. Results: One hundred eighty-one patients underwent primary LND at our Institution, the remaining 28 were referred for recurrence following LND outside the Institution. Comparing patients who required reoperation for recurrent lateral neck disease with those who did not recur, no significant difference was found concerning sex, tumor size, multifocal disease, extracapsular invasion, histological variant, pT stage (P = NS). At univariate analysis, age, mean number of removed lateral neck nodes at first operation, the extent of initial LND and surgery performed outside the Institution were risk factors for recurrence (P < 0.001). Conclusions: Limited LND and surgery performed at non referral Centers were non tumor-related risk factors for recurrence following therapeutic LND for PTC.
KW - Endocrinology
KW - Endocrinology, Diabetes and Metabolism
KW - Lateral neck dissection
KW - Lymph node metastases
KW - Papillary thyroid carcinoma
KW - Recurrence of papillary thyroid carcinoma
KW - Reoperative lateral neck dissection
KW - Endocrinology
KW - Endocrinology, Diabetes and Metabolism
KW - Lateral neck dissection
KW - Lymph node metastases
KW - Papillary thyroid carcinoma
KW - Recurrence of papillary thyroid carcinoma
KW - Reoperative lateral neck dissection
UR - http://hdl.handle.net/10807/131674
UR - http://www.springer.com/humana+press/journal/12020
U2 - 10.1007/s12020-018-1788-9
DO - 10.1007/s12020-018-1788-9
M3 - Article
SN - 1355-008X
VL - 63
SP - 310
EP - 315
JO - Endocrine
JF - Endocrine
ER -
