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Ultrasound and Mapping of Neck Lymph Nodes

  • Catherine F. Sinclair
  • Dipti Kamani
  • Gregory W. RandolphEmail author
  • Barry Sacks
  • H. Jack BaskinSr.
Chapter

Abstract

Papillary thyroid carcinoma (PTC) frequently metastasizes to regional cervical lymph nodes, with incidence rates ranging from 12 to 80% of PTC patients. Macroscopic nodal disease (as opposed to microscopic) has been shown to increase the risk of nodal recurrence. Preoperative identification of lymph node metastases is essential to allow for adequate surgical planning by determining extent of initial surgery, thereby optimizing recurrence-free survival outcomes. Postoperatively, surveillance of neck nodes allows for early detection of disease recurrence. Neck sonography, by virtue of its ease of use and ability to screen the neck for abnormal lymph nodes, is the primary imaging modality employed for screening, mapping, and surveying neck lymph nodes in patients with thyroid carcinoma.

Keywords

Thyroid cancer Lymph node metastases Ultrasound CT scan Radiographic map Nodal recurrence Compartments of the neck Revision surgery 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Catherine F. Sinclair
    • 1
  • Dipti Kamani
    • 2
  • Gregory W. Randolph
    • 3
    • 4
    • 5
    Email author
  • Barry Sacks
    • 6
  • H. Jack BaskinSr.
    • 7
  1. 1.Department of OtolaryngologyIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Department of Otolaryngology, Division of Thyroid and Parathyroid SurgeryMassachusetts Eye and Ear InfirmaryBostonUSA
  3. 3.Thyroid Surgery OncologyHarvard Medical SchoolBostonUSA
  4. 4.Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology – Head and Neck SurgeryMassachusetts Eye and Ear InfirmaryBostonUSA
  5. 5.Department of SurgeryEndocrine Surgery Service, Massachusetts General HospitalBostonUSA
  6. 6.Beth Israel Deaconess Medical CenterNatickUSA
  7. 7.University of Central Florida College of MedicineOrlandoUSA

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