Modified radical neck dissection

Cord Sturgeon*, Dina M. Elaraj

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


All patients with a diagnosis of thyroid cancer should have a complete preoperative ultrasound of the central and lateral compartments of the neck, with a clear documentation of the description and location of suspicious lymph nodes using the standard nomenclature. Fine needle aspiration biopsy of suspicious lymph nodes should be performed preoperatively in order to guide the extent of surgery. Papillary and medullary thyroid cancers frequently metastasize to the cervical lymph nodes. Thyroid cancer nodal metastases are best treated with formal compartmental clearance. For metastatic thyroid cancer within the lateral neck, the authors perform a formal nodal clearance of levels IIA, III, IV, and VB. The standard nomenclature, preoperative preparation, steps of the dissection, and postoperative care are described.

Original languageEnglish (US)
Title of host publicationIllustrative Handbook of General Surgery
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Number of pages11
ISBN (Electronic)9783319245577
ISBN (Print)9783319245553
StatePublished - Jan 1 2016


  • Metastatic thyroid cancer
  • Neck dissection
  • Surgical technique

ASJC Scopus subject areas

  • Medicine(all)


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