Cervical nodal metastasis in differentiated thyroid cancer
Cervical nodal metastasis in differentiated thyroid cancer
* Sonographic features suggestive of a metastatic lymph node include enlargement, loss of the fatty hilum, a rounded rather than oval shape, hyperechogenicity, cystic change, calcifications, and peripheral vascularity.[1] ¶ Controversial; not all surgeons would perform a prophylactic central compartment neck dissection even in patients with large tumors or high-risk features.
References:
Leenhardt L, Erdogan MF, Hegedus L, et al. 2013 European thyroid association guidelines for cervical ultrasound scan and ultrasound-guided techniques in the postoperative management of patients with thyroid cancer. Eur Thyroid J 2013; 2:147.