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Adequate surgery for papillary thyroid cancer
The Surgeon - Journal of the Royal College of Surgeons at Edinburgh and Ireland, 09/11/09

Elaraj DM et al. – Reports are conflicting with respect to the impact of cervical nodal metastases on recurrence rates and survival, which are also affected by other patient, tumour and treatment–related factors. Therapeutic lymph node dissection is indicated for biopsy–proven nodal metastases. Prophylactic lateral neck lymphadenectomy is not recommended by experts in Europe and the USA. Prophylactic central neck lymphadenectomy is controversial, and may be advocated in selected patients while balancing the risks of the procedure.

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