• Turk J Med Sci · Feb 2019

    Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas

    • Mehmet Eser Sancaktar, Gülser Saylam, Bülent Öcal, Ahmet Uluat, Ömer Bayır, Erman Çakal, and Mehmet Hakan Korkmaz.
    • Turk J Med Sci. 2019 Feb 11; 49 (1): 217-221.

    Backround/AimPapillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes. Our purpose was to investigate the predictive role of tumor location for lymph node metastasis pattern in PTCs.Materials And MethodsMedical records of 110 PTC patients were reviewed retrospectively. Tumor location was determined as upper, middle, and lower pole according to ultrasonography (USG) findings. The effects of age, sex, tumor size, and location on lymph node metastasis were investigated.ResultsThe series comprised 87% females (n = 96) and 13% males (n = 14). Forty-three patients had central neck metastasis (CNM) and 14 had lateral neck metastasis (LNM). Upper pole tumors (UPT) metastasized to the central neck (CN) at a lower rate (17.6%) than middle (40.0%) or lower (48.5%) poles overall (P = 0.104), while it was at a significantly lower rate (13.3%) in the PTC group (P < 0.05). UPTs (n = 17) metastasized to the lateral neck (LN) almost 2-fold more. It was observed that 3 of 4 UPTs spread directly to the LN without CNM.ConclusionIn our opinion, UPTs have propensity to demonstrate metastasis to LN rather than the CN in PTCs. Therefore, UPTs should be evaluated meticulously in terms of LNM. New studies could suggest that CN dissection is not performed for low-risk PTCs in UPTs.

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