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Efficacy of prophylactic central neck dissection in hemithyroidectomy for papillary thyroid carcinoma

  • Head and Neck
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Abstract

Purpose

To evaluate the efficacy of prophylactic central neck dissection (pCND) in hemithyroidectomy for clinically node-negative papillary thyroid carcinoma (PTC).

Methods

We retrospectively analyzed 299 patients who underwent thyroid lobectomy with or without pCND for unilateral PTC. Of the 299 patients, 245 (81.9%) underwent unilateral pCND along with lobectomy, and 54 (18.1%) patients underwent lobectomy without pCND. Propensity score matching was performed for five covariates to reduce selection bias.

Results

In the baseline cohort of 299 patients, mean age, extrathyroidal extension, T classification and stage were higher in the cases undergoing pCND than in those not undergoing pCND. After propensity score matching, the significant differences between the two groups seen in the baseline cohort disappeared. Recurrence rates and recurrence-free survival curves did not differ between the 2 matched groups each of 54 patients.

Conclusion

The value of pCND in hemithyroidectomy for PTC is limited.

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Author information

Author notes

  1. Seok Hyun Jin and In-Sik Kim contributed equally to this work as first authors.

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea

    Seok Hyun Jin, In-Sik Kim, Yong Bae Ji, Chang Myeon Song & Kyung Tae

  2. Graduate of Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea

    Seok Hyun Jin

  3. Department of Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea

    Min Sung Chung

Authors
  1. Seok Hyun Jin
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  2. In-Sik Kim
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  4. Chang Myeon Song
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Correspondence to Kyung Tae.

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The authors have no funding, financial relationships, or conflicts of interest to disclose.

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All procedures performed in studies involving human participants were done so in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Jin, S.H., Kim, IS., Ji, Y.B. et al. Efficacy of prophylactic central neck dissection in hemithyroidectomy for papillary thyroid carcinoma. Eur Arch Otorhinolaryngol 277, 873–879 (2020). https://doi.org/10.1007/s00405-019-05744-7

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  • DOI: https://doi.org/10.1007/s00405-019-05744-7

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