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The Management of the Persistent and Recurrent Cervical Lymph Node Metastases

  • J. D. Pasternak
  • W. T. ShenEmail author
Chapter

Abstract

Although well-differentiated thyroid cancer (WDTC) has a very favorable prognosis, a substantial portion of patients have recurrence of disease throughout their lifetime. It is important for the clinician to stratify the surveillance of each patient according to their risk of recurrence. Once recurrence is detected, risks and benefits must be weighed before intervention is considered. Reoperation is generally safe and can often provide a durable result. Patients with multiple recurrences can be treated with alternative local therapies, but a multidisciplinary approach to these patients produces the best outcomes.

Keywords

Recurrent thyroid cancer Surveillance Reoperation Lymph nodes Neck dissection Operative risks Ethanol ablation Radiofrequency ablation 

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Division of General SurgeryUniversity Health NetworkTorontoCanada
  2. 2.Department of SurgeryMt Zion Hospital, University of California – San FranciscoSan FranciscoUSA

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