Prophylactic Unilateral Neck Dissection for Differentiated Thyroid Cancer

  • Serap Erel


The extent of dissection for differentiated thyroid cancer in the neck is a balance between the greater morbidity of more extensive neck dissection and the possibility of leaving residual untreated metastatic lymph nodes. Therapeutic unilateral nodal dissection is performed for cN1b disease. In order to prevent morbidities and to prevent overtreatment, it is suggested that risk factors of ipsilateral and contralateral central lymph node metastases should be considered while planning the extent of central lymph node dissection in patients with cN0 and unilateral papillary thyroid cancer upon preoperative neck ultrasound.


Papillary thyroid cancer Total thyroidectomy Unilateral central dissection Central compartment dissection Central neck dissection Prophylactic Central lymph node metastases Nomogram Sentinel lymph node Neck ultrasound 


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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Serap Erel
    • 1
  1. 1.General SurgeryAnkara Education and Research Hospital, University of Health SciencesAnkaraTurkey

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