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Indications and extent of central neck dissection for papillary thyroid cancer: An American Head and Neck Society Consensus Statement
Author(s) -
Agrawal Nishant,
Evasovich Maria R.,
Kandil Emad,
Noureldine Salem I.,
Felger Erin A.,
Tufano Ralph P.,
Kraus Dennis H.,
Orloff Lisa A.,
Grogan Raymon,
Angelos Peter,
Stack Brendan C.,
McIver Bryan,
Randolph Gregory W.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24715
Subject(s) - medicine , thyroid cancer , guideline , neck dissection , head and neck cancer , thyroid , papillary thyroid cancer , general surgery , surgery , cancer , pathology
Background The primary purposes of this interdisciplinary consensus statement were to review the relevant indications for central neck dissection (CND) in patients with papillary thyroid cancer (PTC) and to outline the appropriate extent and relevant techniques required to accomplish a safe and effective CND. Methods A writing group convened by the American Head and Neck Society (AHNS) Endocrine Committee was tasked with identifying the important clinical elements to consider when managing the central neck compartment in patients with PTC based on available evidence in the literature, and the group's collective experience. The position statement paper was then submitted to the full Endocrine Committee, Education Committee, and AHNS Council. Results This consensus statement was developed to inform the clinical decision‐making process when managing the central neck compartment in patients with PTC from the AHNS. This document is intended to provide clarity through definitions as well as a basic guideline from which to manage the central neck. It is our hope that this improves the quality and reduces variation in management of the central neck, facilitates communication, and furthers research for patients with thyroid cancer. Conclusion This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. Head Neck 39 : 1269–1279, 2017