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Should Routine (Prophylactic) Central Neck Dissection Be Performed for Clinically Node Negative Well-Differentiated Thyroid Carcinoma?

  • Elya Vasiliou
  • Desi P. Schoo
  • Jonathon O. RussellEmail author
Chapter
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)

Abstract

The management of the N0 central neck in thyroid cancer is a hotly debated topic. Therapeutic options range from bilateral prophylactic central neck dissection to ipsilateral central neck dissection to no central neck surgery. Advantages and disadvantages exist for each of these approaches. Herein, we provide a review of the existing medical literature and possible management options, concluding with our recommendations to avoid prophylactic central neck dissection in T1 and T2 tumors.

Keywords

Thyroidectomy Thyroid surgery Central neck dissection Prophylactic central neck dissection Thyroid cancer 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elya Vasiliou
    • 1
  • Desi P. Schoo
    • 1
  • Jonathon O. Russell
    • 1
    Email author
  1. 1.Department of Otolaryngology—Head and Neck SurgeryJohns Hopkins HospitalBaltimoreUSA

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