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Central Neck Dissection

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Surgery of the Thyroid and Parathyroid Glands

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Abstract

Cervical lymphadenectomy plays an important role in the management of thyroid malignancy. Excision of clinically and/or radiographically apparent cervical node metastases (therapeutic lymphadenectomy) has been shown to decrease locoregional recurrence and improve prognosis. Similarly, excision of central cervical lymph nodes that are neither clinically nor radiographically suspicious for malignancy (prophylactic central cervical lymphadenectomy) may also decrease recurrence rates and improve disease-specific survival for some types of thyroid cancer.

Cervical lymphadenectomy is most frequently classified according to the associated anatomic domain sampled, with central neck and modified radical neck dissections being the most commonly described nodal harvesting procedures for thyroid cancer. For purposes of lymph node dissection, the unilateral neck is classified by discreet anatomic subdivisions, or levels (Fig. 16.1).

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Author information

Authors and Affiliations

  1. Department of Surgery, Yale University School of Medicine, 330 Cedar Street, 208062, New Haven, CT, 06520-8062, USA

    Jason D. Prescott M.D., Ph.D.

  2. Department of Surgery, Yale University School of Medicine, 330 Cedar Street, 208062, New Haven, CT, 06510, USA

    Robert Udelsman M.D., M.B.A.

Authors
  1. Jason D. Prescott M.D., Ph.D.
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  2. Robert Udelsman M.D., M.B.A.
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Corresponding author

Correspondence to Robert Udelsman M.D., M.B.A. .

Editor information

Editors and Affiliations

  1. Chairman, Department of Surgery, University Hospital Basel, Spitalstr. 21, Basel, 4031, Switzerland

    Daniel Oertli

  2. Yale-New Haven Hospital, Department of Surgery, Yale University School of Medicine, Cedar Street 330FMB 102, New Haven, CT, 06520-8062, USA

    Robert Udelsman

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© 2012 Springer-Verlag Berlin Heidelberg

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Prescott, J.D., Udelsman, R. (2012). Central Neck Dissection. In: Oertli, D., Udelsman, R. (eds) Surgery of the Thyroid and Parathyroid Glands. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23459-0_16

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  • DOI: https://doi.org/10.1007/978-3-642-23459-0_16

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-23458-3

  • Online ISBN: 978-3-642-23459-0

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