Clinical Examination and Ultrasonography as Predictors of Lateral Neck Lymph Nodes Metastasis in Primary Well Differentiated Thyroid Cancer — Oak Academic Publishing
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Clinical Examination and Ultrasonography as Predictors of Lateral Neck Lymph Nodes Metastasis in Primary Well Differentiated Thyroid Cancer
Department of Surgical Oncology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
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Department of Surgical Oncology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
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Department of Diagnostic Radiology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
1 Department of Surgical Oncology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
2 Department of Surgical Oncology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
3 Department of Diagnostic Radiology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
Background : Lateral neck dissection is risky and should be performed only as a therapeutic intervention for known disease. Aim of the Study : This study aims at finding predictors which help in selecting patients who have high risk of ly mph node metastasis. Methods : All the patients with well differentiated thyroid cancer underwent thyroidectomy with lateral lymph nodes (LNs) dissection with available pathology report and sufficient data have been included in the study. Results : Sixty nine patients have been included in this study. In multivariate analysis, the most reliable and significant factors for detecting L.N. involvement were the clinical picture and the U/S appearance of the Neck with P value of (0.008) and (0.001) respectively. Conclusion : Clinical and U/S examinations are the most independent and reliable factors to detect lateral neck lymph nodes involvement.
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