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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

Functional Radical Cervical Dissection for Differentiated Thyroid Cancer: The Experience of a Single Center

by
Adrian Tulin
1,
Lucian Alecu
1,*,
Catalina Poiana
2,
Luminita Tomescu
3,
Iulian Slavu
1,
Raluca Tulin
4,
Silviu Pituru
2,
Cristina Orlov
5,
Radu Jecan
6,
Cristian Balalau
7,
Anca Pantea Stoian
8,
Razvan Hainarosie
2 and
Cornelia Nitipir
2,5
1
Department of General Surgery, Professor Dr. Agrippa Ionescu Emergency Hospital, Bucharest, Romania
2
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
3
Department of Radiology and Imaging, Professor Dr. Agrippa Ionescu Emergency Hospital, Bucharest, Romania
4
Department of Endocrinology, Professor Dr. Agrippa Ionescu Emergency Hospital, Bucharest, Romania
5
Department of Medical Oncology, Elias University Emergency Hospital, Bucharest, Romania
6
Department of Plastic Surgery, Professor Dr. Agrippa Ionescu Emergency Hospital, Bucharest, Romania
7
Department of General Surgery, St. Pantelimon Emergency Hospital, Bucharest, Romania
8
Department of Diabetes, Nutrition and Metabolic Diseases, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2018, 5(2), 278-283; https://doi.org/10.22543/7674.52.P278283
Submission received: 31 July 2018 / Revised: 31 August 2018 / Accepted: 30 September 2018 / Published: 3 October 2018

Highlights

  • Central and lateral neck dissections/ CLND is a feasible option for differentiated thyroid cancers, with a low complication rate.
  • Berry picking of the enlarged lymph nodes should be avoided, due to the fact that the complication rate is similar to CLND and the recurrence rate of malignancy is higher.

Abstract

There is ongoing debate regarding the role of neck dissection in differentiated thyroid cancer, about its usefulness in elective settings, and the increased costs regarding morbidity and operative time. This retrospective study aimed to determine the rate of metastases in cervical lymph nodes, to examine the morbidity of this surgery, and to assess whether a pattern of distribution of tumor cells concerning neck lymphatic compartments exists. The most frequent type of cancer to metastasize was papillary cancer, the majority of patients were young with a median of 30 years, predominantly females. Differentiated thyroid cancer frequently metastasizes to the central and lateral compartments of the neck. The morbidity is minimal in a high-volume center. Radical neck dissection is safe and feasible in selected patients with confirmed invaded or enlarged lymph nodes due to differentiated thyroid cancer, and postoperative complications are minimal if the anatomy is correctly identified and the cases strictly selected.
Keywords: thyroid; differentiated cancer; surgery; cervical dissection thyroid; differentiated cancer; surgery; cervical dissection

Share and Cite

MDPI and ACS Style

Tulin, A.; Alecu, L.; Poiana, C.; Tomescu, L.; Slavu, I.; Tulin, R.; Pituru, S.; Orlov, C.; Jecan, R.; Balalau, C.; et al. Functional Radical Cervical Dissection for Differentiated Thyroid Cancer: The Experience of a Single Center. J. Mind Med. Sci. 2018, 5, 278-283. https://doi.org/10.22543/7674.52.P278283

AMA Style

Tulin A, Alecu L, Poiana C, Tomescu L, Slavu I, Tulin R, Pituru S, Orlov C, Jecan R, Balalau C, et al. Functional Radical Cervical Dissection for Differentiated Thyroid Cancer: The Experience of a Single Center. Journal of Mind and Medical Sciences. 2018; 5(2):278-283. https://doi.org/10.22543/7674.52.P278283

Chicago/Turabian Style

Tulin, Adrian, Lucian Alecu, Catalina Poiana, Luminita Tomescu, Iulian Slavu, Raluca Tulin, Silviu Pituru, Cristina Orlov, Radu Jecan, Cristian Balalau, and et al. 2018. "Functional Radical Cervical Dissection for Differentiated Thyroid Cancer: The Experience of a Single Center" Journal of Mind and Medical Sciences 5, no. 2: 278-283. https://doi.org/10.22543/7674.52.P278283

APA Style

Tulin, A., Alecu, L., Poiana, C., Tomescu, L., Slavu, I., Tulin, R., Pituru, S., Orlov, C., Jecan, R., Balalau, C., Stoian, A. P., Hainarosie, R., & Nitipir, C. (2018). Functional Radical Cervical Dissection for Differentiated Thyroid Cancer: The Experience of a Single Center. Journal of Mind and Medical Sciences, 5(2), 278-283. https://doi.org/10.22543/7674.52.P278283

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