Artikel
With papillary thyroid carcinoma
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Veröffentlicht: | 22. April 2008 |
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Gliederung
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The sentinel lymph node (SLN) biopsy has been proven to be successful and accurate tool in planning surgical treatment of some tumors.
Introduction: To evaluate the feasibility and accuracy of SLN biopsy in patients with papillary thyroid carcinoma.
Methods: Fifty six patients with papillary thyroid carcinoma underwent lymph node examination and SLN biopsy during thyroid surgery over 4 years period in our institution. Рatent blue V injection has been used for the SLN detection.
Results: SLN have been found in all 56 patients with papillary thyroid carcinoma. One SLN in the central compartment was found in 47 patients and one in lateral compartment – in 9 patients. In 5 patients SLN were detected in both central and lateral compartments. Metastases in SLN were found in 24 patients.
From patients with metastasis-positive SLN, metastasis in a next regional lymph node was found in 7 patients.
Conclusions: SLN biopsy provides reliable information about the lymph node status in patients with papillary thyroid carcinoma, thus making possible to avoid unnecessary neck dissections and to minimize the risk from local surgical complications and recurrence.