This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Oncology, Other  • Otolaryngology/ Head & Neck Surgery  • Surgical Oncology  • Endocrine Diseases  • Thyroid/ Parathyroid Diseases  • Alert me on articles by topic  Social Bookmarking   What's this?

Sally E. Carty, MD

Arch Surg. 2009;144(6):574.

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

The management of lymph node involvement in PTC is a controversial topic, in part because it is well documented that PTC is a disease with an exceptionally good prognosis. While patients and clinicians can respond emotionally to hearing the word cancer, such responses in PTC can be disproportionate to objective outcomes. Surgeons can exacerbate an emotional reaction with statements such as, "cancer is a surgical disease," that on the surface seem reasonable. But the facts are that PTC is endemic in the population, frequently involves cervical nodes, and rarely causes mortality after thyroidectomy.

Thanks to recent investigations on the role of lymph node dissection we can start by agreeing on the big things, eg, it would be unjustified to recommend modified radical dissection for micro-PTC without lymphadenopathy¹ or to perform it solely in response to a patient's or a clinician's insistence. There are still no . . . [Full Text of this Article]

AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Operative Technique for Modified Radical Neck Dissection in Papillary Thyroid Carcinoma
John R. Porterfield, David A. Factor, and Clive S. Grant
Arch Surg. 2009;144(6):567-574.
ABSTRACT | FULL TEXT