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Place of Radical Neck Surgery in Thyroid Carcinoma

Place of Radical Neck Surgery in Thyroid Carcinoma Abstract When the diagnosis of carcinoma of the thyroid gland is established, the decision must be made whether or not to perform a neck dissection. Although our experience does not justify a final answer with respect to this question, we believe it does indicate the necessity for a radical neck dissection for patients with evidence of cervical lymph node metastases from an operable carcinoma of the thyroid. The data do not indicate the absolute necessity for an immediate neck dissection for patients without cervical lymphadenopathy in whom thyroid carcinoma is present. However, we do believe that a modified neck dissection is justified in many of these patients. Materials The microscopic diagnosis of carcinoma of the thyroid has been made on 132 cases occurring through 1957 at the Henry Ford Hospital. The first patient was seen in 1924. Of the total of 132 patients, a neck dissection was performed on a total References 1. Meissner, W. A.; Colcock, B. P., and Achenbach, H.: Pathologic Evaluation of Radical Neck Dissection for Carcinoma of the Thyroid Gland , J. Clin. Endocrinol. 15:1432-1436, 1955.Crossref 2. Horn, R. C., Jr., and Dull, J. A.: Carcinoma of the Thyroid: A Re-Evaluation , Ann. Surg. 139:35-43, 1954.Crossref 3. Horn, R. C.: The Pathologic Physiology of Carcinoma of the Thyroid , S. Clin. North America 35:1669-1681, 1955. 4. Frazell, E. L., and Foote, F. W., Jr.: Papillary Thyroid Carcinoma: Pathological Findings in Cases With and Without Clinical Evidence of Cervical Node Involvement , Cancer 8:1164-1166, 1955.Crossref 5. Frazell, E. L., and Foote, F. W.: Papillary Cancer of the Thyroid: A Review of 25 Years of Experience , Cancer 11:895-922, 1958.Crossref 6. McClintock, J. C.: An Outline of Treatment for Cancer of the Thyroid Gland , Exhibit, Clinical Meeting of the American College of Surgeons, Chicago, October, 1958. 7. Black, B. M.: Surgical Treatment of Carcinoma of the Thyroid Gland , J. Clin. Endocrinol. 9:1422-1428, 1949.Crossref 8. Crile, G., Jr.: Adenoma and Carcinoma of the Thyroid Gland , New England J. Med. 249:585-590, 1953.Crossref 9. Crile, G., Jr.: Fallacy of the Conventional Radical Neck Dissection for Papillary Carcinoma of the Thyroid , Ann. Surg. 145:317-320, 1957.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Place of Radical Neck Surgery in Thyroid Carcinoma

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320050038006
Publisher site
See Article on Publisher Site

Abstract

Abstract When the diagnosis of carcinoma of the thyroid gland is established, the decision must be made whether or not to perform a neck dissection. Although our experience does not justify a final answer with respect to this question, we believe it does indicate the necessity for a radical neck dissection for patients with evidence of cervical lymph node metastases from an operable carcinoma of the thyroid. The data do not indicate the absolute necessity for an immediate neck dissection for patients without cervical lymphadenopathy in whom thyroid carcinoma is present. However, we do believe that a modified neck dissection is justified in many of these patients. Materials The microscopic diagnosis of carcinoma of the thyroid has been made on 132 cases occurring through 1957 at the Henry Ford Hospital. The first patient was seen in 1924. Of the total of 132 patients, a neck dissection was performed on a total References 1. Meissner, W. A.; Colcock, B. P., and Achenbach, H.: Pathologic Evaluation of Radical Neck Dissection for Carcinoma of the Thyroid Gland , J. Clin. Endocrinol. 15:1432-1436, 1955.Crossref 2. Horn, R. C., Jr., and Dull, J. A.: Carcinoma of the Thyroid: A Re-Evaluation , Ann. Surg. 139:35-43, 1954.Crossref 3. Horn, R. C.: The Pathologic Physiology of Carcinoma of the Thyroid , S. Clin. North America 35:1669-1681, 1955. 4. Frazell, E. L., and Foote, F. W., Jr.: Papillary Thyroid Carcinoma: Pathological Findings in Cases With and Without Clinical Evidence of Cervical Node Involvement , Cancer 8:1164-1166, 1955.Crossref 5. Frazell, E. L., and Foote, F. W.: Papillary Cancer of the Thyroid: A Review of 25 Years of Experience , Cancer 11:895-922, 1958.Crossref 6. McClintock, J. C.: An Outline of Treatment for Cancer of the Thyroid Gland , Exhibit, Clinical Meeting of the American College of Surgeons, Chicago, October, 1958. 7. Black, B. M.: Surgical Treatment of Carcinoma of the Thyroid Gland , J. Clin. Endocrinol. 9:1422-1428, 1949.Crossref 8. Crile, G., Jr.: Adenoma and Carcinoma of the Thyroid Gland , New England J. Med. 249:585-590, 1953.Crossref 9. Crile, G., Jr.: Fallacy of the Conventional Radical Neck Dissection for Papillary Carcinoma of the Thyroid , Ann. Surg. 145:317-320, 1957.Crossref

Journal

A.M.A. Archives Surgery – American Medical Association

Published: May 1, 1959

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