Lymph node distribution in the central compartment of the neck: An anatomic study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTAVARES, Marcos Roberto
dc.contributor.authorCRUZ, Jose Arnaldo Shiomi da
dc.contributor.authorWAISBERG, Daniel Reis
dc.contributor.authorTOLEDO, Sergio Pereira de Almeida
dc.contributor.authorTAKEDA, Flavio Roberto
dc.contributor.authorCERNEA, Claudio Roberto
dc.contributor.authorCAPELOZZI, Vera Luiza
dc.contributor.authorBRANDAO, Lenine Garcia
dc.date.accessioned2015-02-06T19:10:17Z
dc.date.available2015-02-06T19:10:17Z
dc.date.issued2014
dc.description.abstractBackground. Dissection of the central compartment of the neck (CCN) is performed for proven or suspected lymph node metastases of thyroid carcinoma. During this procedure, the recurrent laryngeal nerves and the parathyroid glands are at risk. The purpose of this study was to determine the anatomic distribution of the lymph nodes in the CCN. Methods. The anatomic distribution of the lymph nodes in the CCN was studied by dissection of 30 fresh cadavers. The soft tissue between the cricoid cartilage and the innominate vein, carotid arteries, and prevertebral fascia was removed and divided according to CCN sublevels. Nodules were identified by palpation in the specimen and sent for pathological examination. Results. Three to 44 (18.5 +/- 10.29) nodules were identified macroscopically. Two to 42 nodules were confirmed as lymph nodes after microscopic examination. The lymph node distribution was as follows: precricoid: 0 to 2 (0.9 +/- 0.72); pretracheal: 1 of 35 (12.4 +/- 8.19); lateral to the right recurrent laryngeal nerve (RLN): 0 to 11 (3.4 +/- 2.34); and lateral to the left: 0 to 4 (1.7 +/- 1.30). Twenty-six parathyroid glands were removed by 14 dissections. The innominate vein was found at 15 mm above the superior border of the clavicles to 35 mm below on the left side of the neck and 5 to 45 mm on the right side. Conclusion. The number of confirmed lymph nodes in the central neck varied from 2 to 42. Sixty-seven percent of the lymph nodes were in the pretracheal sublevel. There was no division between level VI and VII lymph nodes. Additionally, the innominate vein was found to be from 15 mm above the superior border of the clavicles to 35 mm below on the left side of the neck and 5 to 45 mm on the right side. Parathyroid glands were identified to be far away from the thyroid gland. (C) 2014 Wiley Periodicals, Inc.
dc.description.indexMEDLINE
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP)
dc.description.sponsorshipSVOC: Servico de Verificacao de Obitos da Capital
dc.identifier.citationHEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.36, n.10, p.1425-1430, 2014
dc.identifier.doi10.1002/hed.23469
dc.identifier.eissn1097-0347
dc.identifier.issn1043-3074
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/8283
dc.language.isoeng
dc.publisherWILEY-BLACKWELL
dc.relation.ispartofHead and Neck-Journal for the Sciences and Specialties of the Head and Neck
dc.rightsrestrictedAccess
dc.rights.holderCopyright WILEY-BLACKWELL
dc.subjectlymph nodes
dc.subjectneck dissection
dc.subjectcentral neck compartment
dc.subjectthyroid cancer
dc.subjectanatomic study
dc.subject.otherpapillary thyroid-carcinoma
dc.subject.otherdifferentiated carcinoma
dc.subject.otherprognostic-factors
dc.subject.otherchyle leakage
dc.subject.otherfollow-up
dc.subject.otherdissection
dc.subject.othercancer
dc.subject.othermetastases
dc.subject.othermorbidity
dc.subject.othermanagement
dc.subject.wosOtorhinolaryngology
dc.subject.wosSurgery
dc.titleLymph node distribution in the central compartment of the neck: An anatomic study
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus17
hcfmusp.contributor.author-fmusphcMARCOS ROBERTO TAVARES
hcfmusp.contributor.author-fmusphcJOSE ARNALDO SHIOMI DA CRUZ
hcfmusp.contributor.author-fmusphcDANIEL REIS WAISBERG
hcfmusp.contributor.author-fmusphcSERGIO PEREIRA DE ALMEIDA TOLEDO
hcfmusp.contributor.author-fmusphcFLAVIO ROBERTO TAKEDA
hcfmusp.contributor.author-fmusphcCLAUDIO ROBERTO CERNEA
hcfmusp.contributor.author-fmusphcVERA LUIZA CAPELOZZI
hcfmusp.contributor.author-fmusphcLENINE GARCIA BRANDAO
hcfmusp.description.beginpage1425
hcfmusp.description.endpage1430
hcfmusp.description.issue10
hcfmusp.description.volume36
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84908060391
hcfmusp.origem.wosWOS:000342157000010
hcfmusp.publisher.cityHOBOKEN
hcfmusp.publisher.countryUSA
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