Central neck dissection

Jason D. Prescott, Robert Udelsman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Cervical lymphadenectomy plays an important role in the management of thyroid malignancy. Excision of clinically and/or radiographically apparent cervical node metastases (therapeutic lymphadenectomy) has been shown to decrease locoregional recurrence and improve prognosis. Similarly, excision of central cervical lymph nodes that are neither clinically nor radiographically suspicious for malignancy (prophylactic central cervical lymphadenectomy) may also decrease recurrence rates and improve disease-specific survival for some types of thyroid cancer. Cervical lymphadenectomy is most frequently classified according to the associated anatomic domain sampled, with central neck and modified radical neck dissections being the most commonly described nodal harvesting procedures for thyroid cancer. For purposes of lymph node dissection, the unilateral neck is classified by discreet anatomic subdivisions, or levels (Fig. 16.1).

Original languageEnglish (US)
Title of host publicationSurgery of the Thyroid and Parathyroid Glands
PublisherSpringer-Verlag Berlin Heidelberg
Pages215-221
Number of pages7
ISBN (Electronic)9783642234590
ISBN (Print)3642234585, 9783642234583
DOIs
StatePublished - Jul 1 2011
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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