Current controversies in the management of neck node metastasis in differentiated thyroid cancer

作     者：Ashok R.Shaha Ashok R.Shaha

作者机构：Department of SurgeryHead and Neck ServiceMemorial Sloan Kettering Cancer CenterNew YorkNY 10065USA 

出 版 物：《Journal of Cancer Metastasis and Treatment》 (癌症转移与治疗（英文版）)

年 卷 期：2023年第9卷第1期

页      面：185-193页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Thyroid cancer well-differentiated thyroid cancer nodal metastasis active surveillance continuous monitoring management 

摘      要：The incidence of nodal metastasis is quite common in well-differentiated thyroid ***,its clinical significance is generally quite *** adverse pathological features need to be *** debate continues over prophylactic central compartment ***,it needs to be re-evaluated in terms of complications of elective *** extent of lateral neck dissection is standardized from level II through level *** nodal disease is more likely to be persistent nodal *** preoperative imaging is very *** for recurrent disease needs to be considered based on nodal prognostic factors and location of the *** approach of using active surveillance and continuous monitoring is reasonable,especially for recurrence below 1 cm.