Abstract
In their recent article, 1 Szavcsur P. Gödény M. Bajzik G. Lengyel E. Repa I. Trón L. et al. Angiography-proven liver metastases explain low efficacy of lymph node dissections in medullary thyroid cancer patients. Eur J Surg Oncol. 2005; 31: 183-190 Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar Szavcsur et al. report an extension of their previous institutional experience published elsewhere. 2 Esik O. Szavcsur P. Szakáll S. Bajzik G. Repa I. Dabasi G. et al. Angiography effectively supports the diagnosis of hepatic metastases in medullary thyroid carcinoma. Cancer. 2001; 91: 2084-2095 Crossref PubMed Scopus (27) Google Scholar The authors' rationale behind their advice to forego secondary lymph node dissection in patients with medullary thyroid cancer (MTC) is that ‘secondary lymph node surgery can generally not restore a normocalcitoninemic state since it is most unlikely to lead to complete removal of all the tumorous tissue’. This line of reasoning merits some comment.
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