Clinical Examination and Ultrasonography as Predictors of Lateral Neck Lymph Nodes Metastasis in Primary Well Differentiated Thyroid Cancer
2018
Background: Lateral neck dissection is risky and should be performed only as a
therapeutic intervention for known disease. Aim of the Study: This study aims at finding predictors which help in
selecting patients who have high risk of lymph node metastasis. Methods: All the patients with well differentiated thyroid
cancer underwent thyroidectomy with lateral lymph nodes (LNs) dissection with
available pathology report and sufficient data have been included in the study. Results: Sixty
nine patients have been included in this study. In multivariate analysis, the
most reliable and significant factors for detecting L.N. involvement were the
clinical picture and the U/S appearance of the Neck with P value of (0.008) and
(0.001) respectively. Conclusion: Clinical and U/S examinations are the most
independent and reliable factors to detect lateral neck lymph nodes
involvement.
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