Abstract

Systematic prophylactic eck dissection in the treatment of papillary thyroid cancer. More for than against

Highlights

  • it allows to optimize the indications for radioiodine therapy

  • Detection of latent metastases was assessed by radioiodine therapy in 829 patients

  • The locoregional metastasespersistence rate was determined by group comparison using SPECT

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Summary

Introduction

Performing prophylactic neck dissection in patients with papillary thyroid cancer (PTC) has a number of potential benefits: it allows to optimize the indications for radioiodine therapy, increase the accuracy of diagnosis and potentially reduce the recurrence rate of metastasis. Due to the lack of a valid justification for dissection, this issue remains controversial. To evaluate the effectiveness of surgical treatment of PTC (rate of persistence of locoregional metastasis and the presence of specific postoperative complications (paresis/paralysis of the larynx, hypoparathyroidism and hypocalcemia) in the early and late postoperative periods, depending on the volume of surgery

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