𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Efficacy of preoperative neck ultrasound in the detection of cervical lymph node metastasis from thyroid cancer

✍ Scribed by Harry S. Hwang; Lisa A. Orloff

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
93 KB
Volume
121
Category
Article
ISSN
0023-852X

No coin nor oath required. For personal study only.

✦ Synopsis

Objectives/Hypothesis: This study was performed to assess the diagnostic accuracy of surgeon-performed preoperative neck ultrasound (US) in the detection of both central and lateral cervical lymph node metastases from thyroid cancer.

Study Design: Prospective cohort study. Methods: Data for all patients with thyroid cancers and follicular thyroid lesions who were evaluated by means of preoperative neck US were reviewed. The cervical lymph nodes were assessed for suspicion of metastasis based on US characteristics. The diagnostic accuracy of US was determined according to whether histologically confirmed cancer was present in surgical cervical lymph node specimens.

Results: The sensitivity and specificity of US in predicting papillary thyroid carcinoma (PTC) metastasis in the central neck were 30.0% and 86.8%, respectively. The sensitivity and specificity of US in predicting metastasis in the lateral neck were 93.8% and 80.0%, respectively. A subset of patients underwent US followed by revision neck dissection for PTC, and the sensitivity and specificity of US in predicting metastasis in the lateral neck were 100% and 100%, respectively.

Conclusions: Preoperative neck US is a valuable tool in assessing patients with thyroid cancers. The highly sensitive and specific nature of US in predicting cervical lymph node metastasis in the lateral neck, especially in the setting of recurrent disease, can provide reliable information to assist in surgical management. Although US for central compartment lymphadenopathy in the presence of the thyroid gland is less sensitive and specific than US for the lateral neck, it still provides useful information that can be obtained at the same time the primary thyroid pathology is assessed.

πŸ“œ SIMILAR VOLUMES

The role of preoperative ultrasound scan
The role of preoperative ultrasound scan in detecting lymph node metastasis before sentinel node biopsy in melanoma patients
✍ Carlo Riccardo Rossi; Simone Mocellin; Barbara Scagnet; Mirto Foletto; Antonella πŸ“‚ Article πŸ“… 2003 πŸ› John Wiley and Sons 🌐 English βš– 121 KB

## Abstract ## Background and Objectives To evaluate the efficacy of preoperative ultrasound (US) scanning in identifying lymph node metastasis before sentinel node biopsy (SNB), we conducted a prospective study on 125 patients with primary cutaneous melanoma (CM). ## Methods We prospectively en

Importance of molecular analysis in dete
Importance of molecular analysis in detecting cervical lymph node metastasis in head and neck squamous cell carcinoma
✍ Mohamed N. Elsheikh; Alessandra Rinaldo; Hiroyuki Hamakawa; Magdy E. Mahfouz; Ju πŸ“‚ Article πŸ“… 2006 πŸ› John Wiley and Sons 🌐 English βš– 127 KB πŸ‘ 2 views

## Abstract ## Background. Because of the impact of nodal status on treatment and survival in squamous cell carcinoma of the head and neck, accurate staging of cervical lymph nodes is critical. This article explores the value of molecular analyses in the detection of cervical lymph node metastasis

Palpation, ultrasound, and ultrasound-gu
Palpation, ultrasound, and ultrasound-guided fine-needle aspiration cytology in the assessment of cervical lymph node status in head and neck cancer patients
✍ Timo S. Atula; Reidar GrΓ©nman; Matti J. Varpula; Timo J. I. Kurki; Pekka-Juhani πŸ“‚ Article πŸ“… 1996 πŸ› John Wiley and Sons 🌐 English βš– 644 KB

## Background: Lymph node status of the neck is the most important prognostic factor in head and neck cancer patients. assessment of the lymph nodes status is still often based on palpation only, although the low accuracy of palpation is known. ## Methods: Altogether 105 consecutive head and neck

Detection of lymph node metastasis in ce
Detection of lymph node metastasis in cervical and uterine cancers by diffusion-weighted magnetic resonance imaging at 3T
✍ Gigin Lin; Kung-Chu Ho; Jiun-Jie Wang; Koon-Kwan Ng; Yau-Yau Wai; Yen-Ting Chen; πŸ“‚ Article πŸ“… 2008 πŸ› John Wiley and Sons 🌐 English βš– 405 KB

## Abstract ## Purpose To evaluate diffusion‐weighted imaging (DWI) for detection of pelvic lymph node metastasis in patients with cervical and uterine cancers. ## Materials and Methods Fifty patients scheduled for pelvic lymph node dissection were enrolled for 3T magnetic resonance imaging (MRI