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Anales de Otorrinolaringología Mexicana

2013, Number 3

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Otorrinolaringología 2013; 58 (3)

Elective dissection of central compartment in differentiated thyroid cancer. Indication or recommendation?

Delgado AJLG, Dávalos FMS, del Bosque MJE, García RFM, Medrano ED, Capiz CB

Language: Spanish
References: 36
Page: 164-169
PDF size: 395.73 Kb.


ABSTRACT

Differentiated thyroid cancer is the most common endocrine malignancy in the world. Nodal disease is common although it has been shown that it has no impact on survival, thus central compartment elective dissection remains subject to debate, and current recommendations are based on the premise of locoregional control with a probable increase in survival, which has not been conclusively shown due to absence of long-term studies to support it. The theoretical increase in complications after elective central dissection (injury to recurrent laryngeal nerves and hypocalcemia) remains the reason some surgeons would not consider it, arguing the use of radioactive iodine ablation as enough for disease control. Due to the lack of studies demonstrating elective central neck dissection contribution in overall prognosis, at Oncology Unit, Hospital Juárez de México, we performed elective central neck dissection in all patients considered high risk according to AMES criteria (age, metastasis, primary cancer extension, tumor size).


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