Pro und Contra Lymphadenektomie beim papillären und follikulären Schilddrüsenkarzinom [Pro and contra lymphadenectomy in papillary and follicular thyroid gland carcinoma]

Details

Serval ID
serval:BIB_8C13F62AF455
Type
Article: article from journal or magazin.
Collection
Publications
Title
Pro und Contra Lymphadenektomie beim papillären und follikulären Schilddrüsenkarzinom [Pro and contra lymphadenectomy in papillary and follicular thyroid gland carcinoma]
Journal
Zentralblatt fur Chirurgie
Author(s)
Seiler C.A., Schäfer M., Büchler M.W.
ISSN
0044-409X (Print)
ISSN-L
0044-409X
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
125
Number
10
Pages
835-40; discussion 840-1
Language
german
Notes
Publication types: English Abstract ; Journal Article ; Review
Publication Status: ppublish
Abstract
Patients with papillary and follicular thyroid carcinomas are said to have an excellent long-term prognosis. However, over 90% of papillary carcinomas have synchrone lymph node metastases. Based on clinical, histopathologic and molecular-biological factors, different patient groups can be defined with an increased recurrence rate and disease related mortality-rate of up to 50% in the long-term follow-up of 30 years. Therefore, not only the extent of the surgical resection of the thyroid cancer but also the lymph node dissection as an oncologic correct surgical procedure is of great importance. Although the position of surgical lymphadenectomy is still discussed controversially there are increasing reasons to support the concept of a radical initial operation following the rules of oncologic surgery. We consider total thyroidectomy and modified neck-dissection as the standard operation in well differentiated thyroid carcinoma. In unilateral carcinoma both the central and the ipsilateral cervico-lateral lymph node compartments are dissected. In multicentric bilateral carcinomas a bilateral cervico-central and cervico-lateral lymphadenectomy has to be performed.
Keywords
Adenocarcinoma, Follicular/mortality, Adenocarcinoma, Follicular/pathology, Adenocarcinoma, Follicular/surgery, Carcinoma, Papillary/mortality, Carcinoma, Papillary/pathology, Carcinoma, Papillary/surgery, Humans, Lymph Node Excision, Lymph Nodes/pathology, Neck Dissection, Neoplasm Staging, Survival Rate, Thyroid Neoplasms/mortality, Thyroid Neoplasms/pathology, Thyroid Neoplasms/surgery
Pubmed
Web of science
Create date
11/12/2018 12:46
Last modification date
20/08/2019 15:50
Usage data