Modified radical neck dissection

Cord Sturgeon*, Dina M Elaraj

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

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
Pages27-37
Number of pages11
ISBN (Electronic)9783319245577
ISBN (Print)9783319245553
DOIs
StatePublished - Jan 1 2016

Fingerprint

Neck Dissection
Thyroid Neoplasms
Lymph Nodes
Terminology
Neck
Postoperative Care
Fine Needle Biopsy
Documentation
Dissection
Neoplasm Metastasis

Keywords

  • Metastatic thyroid cancer
  • Neck dissection
  • Surgical technique

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sturgeon, C., & Elaraj, D. M. (2016). Modified radical neck dissection. In Illustrative Handbook of General Surgery: Second Edition (pp. 27-37). Springer International Publishing. https://doi.org/10.1007/978-3-319-24557-7_3
Sturgeon, Cord ; Elaraj, Dina M. / Modified radical neck dissection. Illustrative Handbook of General Surgery: Second Edition. Springer International Publishing, 2016. pp. 27-37
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Sturgeon, C & Elaraj, DM 2016, Modified radical neck dissection. in Illustrative Handbook of General Surgery: Second Edition. Springer International Publishing, pp. 27-37. https://doi.org/10.1007/978-3-319-24557-7_3

Modified radical neck dissection. / Sturgeon, Cord; Elaraj, Dina M.

Illustrative Handbook of General Surgery: Second Edition. Springer International Publishing, 2016. p. 27-37.

Research output: Chapter in Book/Report/Conference proceedingChapter

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Sturgeon C, Elaraj DM. Modified radical neck dissection. In Illustrative Handbook of General Surgery: Second Edition. Springer International Publishing. 2016. p. 27-37 https://doi.org/10.1007/978-3-319-24557-7_3