Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas

Mehmet Eser SANCAKTAR; Güleser SAYLAM; Bülent ÖCAL; Ahmet ULUAT; Ömer BAYIR; Erman ÇAKAL; Mehmet Hakan KORKMAZ

Makale detayları

Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas

Yazarlar:

Mehmet Eser SANCAKTAR | Güleser SAYLAM | Bülent ÖCAL | Ahmet ULUAT | Ömer BAYIR | Erman ÇAKAL | Mehmet Hakan KORKMAZ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.217-221

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750333

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Backround/aim: Papillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes. Our purpose was to investigate the predictive role of tumor location for lymph node metastasis pattern in PTCs.Materials and methods: Medical records of 110 PTC patients were reviewed retrospectively. Tumor location was determined as upper, middle, and lower pole according to ultrasonography (USG) findings. The effects of age, sex, tumor size, and location on lymph node metastasis were investigated. Results: The series comprised 87% females (n = 96) and 13% males (n = 14). Forty-three patients had central neck metastasis (CNM) and  14  had  lateral  neck  metastasis  (LNM).  Upper  pole  tumors  (UPT)  metastasized  to  the  central  neck  (CN)  at  a  lower  rate  (17.6%)  than middle (40.0%) or lower (48.5%) poles overall (P = 0.104), while it was at a significantly lower rate (13.3%) in the PTC group (P < 0.05). UPTs (n  = 17) metastasized to the lateral neck (LN) almost 2-fold more. It was observed that 3 of 4 UPTs spread directly to the LN without CNM. Conclusion:  In  our  opinion,  UPTs  have  propensity  to  demonstrate  metastasis  to  LN  rather  than  the  CN  in  PTCs.  Therefore,  UPTs  should be evaluated meticulously in terms of LNM. New studies could suggest that CN dissection is not performed for low-risk PTCs in UPTs.

Makale detayları

Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas

Yazarlar: Mehmet Eser SANCAKTAR | Güleser SAYLAM | Bülent ÖCAL | Ahmet ULUAT | Ömer BAYIR | Erman ÇAKAL | Mehmet Hakan KORKMAZ

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.217-221

Belge Tipi: Makale

Yayın Tarihi: 1/2019

Belge Dili: Türkçe

Document ID (Org No.): 2000750333

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Mehmet Eser SANCAKTAR | Güleser SAYLAM | Bülent ÖCAL | Ahmet ULUAT | Ömer BAYIR | Erman ÇAKAL | Mehmet Hakan KORKMAZ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 1, pp.217-221

Belge Tipi:

Makale

Yayın Tarihi:

1/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000750333

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144