Lymphatic drainage, regional metastases and surgical management of papillary thyroid carcinoma arising in pyramidal lobe--a single institution experience
| Autor: | Marko Buta, Radan Dzodic, Merima Oruci, Ljubica Petrovic, Yasuhiro Ito, Nikola Besic, Igor Djurisic, Nada Santrac, Gordana Pupic |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty endocrine system diseases Endocrinology Diabetes and Metabolism medicine.medical_treatment Sentinel lymph node Pyramidal Tracts Thyroid Gland Malignancy Thyroid carcinoma Endocrinology Biopsy Carcinoma Medicine Frozen Sections Humans Thyroid Neoplasms Neoplasm Metastasis Thyroid cancer Retrospective Studies Frozen section procedure medicine.diagnostic_test business.industry Sentinel Lymph Node Biopsy Neck dissection medicine.disease Carcinoma Papillary 3. Good health Surgery Treatment Outcome Thyroid Cancer Papillary Lymphatic Metastasis Thyroidectomy Neck Dissection Female business Serbia |
| Zdroj: | Endocrine journal. 61(1) |
| ISSN: | 1348-4540 |
| Popis: | Papillary thyroid carcinoma (PTC) arising in pyramidal lobe (PL) is very rare. The aim of this study was to determine the incidence of single PTC focus in PL and its lymphonodal metastases, as well as to present a single surgeon experience in management of PL PTC. We performed a retrospective analysis of records of all patients surgically treated for PTC in our institution from year 2003 to 2013. Only patients with single PTC focus in PL were included. Out of total 753 patients, majority (66.52%) had PTC focus in one of the lobes, while only 3 patients (0.4%) had solitary PTC focus in PL. They were all females, aged 36, 41 and 22. During surgery, methylene-blue dye was injected peritumorally. After frozen section analysis of excised PL and isthmus and confirmation of malignancy, we performed total thyroidectomy with central neck dissection, as well as sentinel lymph node biopsy in both jugulo-carotid regions. Pathology showed encapsulated PTC stage T1 and solitary metastasis in Delphian lymph node of the youngest patient. All patients were disease free in the follow-up. PTC single focus in PL is very rare and only individual experiences can be discussed regarding the extent of the surgery. |
| Databáze: | OpenAIRE |
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