Management of the Neck in Differentiated Thyroid Cancer
Differentiated thyroid cancer is characterized by an excellent long-term prognosis, which unlike other head and neck carcinomas, is not influenced definitively by regional lymph node metastasis. The relative rarity of the disease, together with its tendency for delayed metastasis and its low mortality, makes a prospective randomized trial comparing treatment outcomes difficult. As a result, the effect of cervical lymph node metastases on survival is unclear, making meaningful recommendations for their management somewhat subjective. This article discusses guidelines for the management of the neck in differentiated.
aDepartment of Otolaryngology–Head and Neck Surgery, University of Pittsburgh Medical Center, Suite 500, Eye and Ear Building, 203 Lothrop Street, Pittsburgh, PA 15213, USA
bDepartment of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA
Corresponding author. Department of Otolaryngology–Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107.
ABSTRACT