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Clive S. Grant, MD
Rochester, Minn

Arch Surg. 1998;133:292.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The report by Kelemen et al reflects an extension of an interesting and potentially valuable surgical concept that has undergone initial evaluation for melanoma and breast cancer and appropriately could be assessed in thyroid cancer. The authors are experts in the technique of sentinel lymph node biopsy.

Patients with differentiated thyroid cancer enjoy excellent survival overall, but there remains significant controversy regarding what prognostic influence lymph node metastases portend and the most effective method of selecting patients for whom lymphadenectomy would be recommended.

Preoperative and intraoperative palpation, ¹³¹I scan, magnetic resonance imaging, computed tomographic scan, and high-resolution ultrasonography are possible modalities to identify patients with metastatically involved nodes. When abnormal nodes are located, even though their influence on overall prognosis remains uncertain, they do require treatment, which often consists of surgical excision.

Of the 12 patients who proved to have thyroid cancer, none had suspicious palpable . . . [Full Text of this Article]

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Sentinel Lymphadenectomy in Thyroid Malignant Neoplasms
Pond R. Kelemen, Andre J. Van Herle, and Armando E. Giuliano
Arch Surg. 1998;133(3):288-292.
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