Mnaseem Baloch, Shahneela Manzoor, Mariyah Anwer.
Prophylactic central neck dissection in papillary carcinoma thyroid, a 14 years JPMC experience.
Pak J Surg Jan ;32(3):126-9.

Objective:To assess the outcome of Extent of Lymph Node Dissection in Papillary Thyroid Cancer. Methodology:It was a retrospective study. Th e 14 years study was performed in general surgery ward-2 Endocrine clinic, JPMC, Karachi, from February 2002 to December 2015. Total 586 operated cases of papillary carcinoma thyroid out of which 213 patients underwent modified radical neck dissection (MRND) were excluded. Th e study included 373 patients underwent CND which were divided in two groups: those who had received a thyroidectomy with CND (group A, n=233) and those who had received thyroidectomy without CND (group B, n=140). Results: Among 373 Papillary Thyroid Cancer patients, Central node tumor metastasis found in 28% patients, recurrence in CND group and without CND group was 3% and 12% respectively. Th e commonest symptom was lump and difficulty in swallowing. Th e duration of symptoms range between 6 months – 1 year. Average hospital stay was 3 days. Out of 373 patients, 48 (6.15%) patients had seroma, hypocalcemia (transient) 62 (7.9%), hematoma 16 (2%), wound infection 14 (1.79%) and Recurrent Laryngeal Nerve Injury was nil. Conclusion:Our study confirms decrease rate in recurrence in patients undergoing CND than those without it, hence CND should be offered to majority of patients of papillary thyroid cancer.

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