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

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art_TAVARES_Lymph_node_distribution_in_the_central_compartment_of_2014.PDF (296.43 KB)
Citações na Scopus
17
Tipo de produção
article
Data de publicação
2014
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Autores
Citação
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.36, n.10, p.1425-1430, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background. 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.
Palavras-chave
lymph nodes, neck dissection, central neck compartment, thyroid cancer, anatomic study
URI
https://observatorio.fm.usp.br/handle/OPI/8283
Referências
  1. AKERSTROM G, 1984, SURGERY, V95, P14
  2. American Joint Committee on Cancer, 1997, AM JOINT COMMITTEE C
  3. Carty SE, 2009, THYROID, V19, P1153
  4. CRILE G, 1987, JAMA-J AM MED ASSOC, V258, P3286, DOI 10.1001/jama.258.22.3286
  5. Escott EJ, 2006, RADIOGRAPHICS, V26, P1501, DOI 10.1148/rg.265055728
  6. FEIND CR, 1964, AM J SURG, V108, P543, DOI 10.1016/0002-9610(64)90152-7
  7. Friedman M, 1999, LARYNGOSCOPE, V109, P368, DOI 10.1097/00005537-199903000-00005
  8. Gemsenjager E, 2003, J AM COLL SURGEONS, V197, P182, DOI 10.1016/S1072-7515(03)00421-6
  9. Gilliland FD, 1997, CANCER, V79, P564, DOI 10.1002/(SICI)1097-0142(19970201)79:3<564::AID-CNCR20>3.0.CO;2-0
  10. Gregor RT, 2000, OTOLARYNG HEAD NECK, V122, P434, DOI 10.1016/S0194-5998(00)70061-1
  11. Henry JF, 1998, LANGENBECK ARCH SURG, V383, P167, DOI 10.1007/s004230050111
  12. Hughes CJ, 1996, HEAD NECK-J SCI SPEC, V18, P127, DOI 10.1002/(SICI)1097-0347(199603/04)18:2<127::AID-HED3>3.0.CO;2-3
  13. Khoo MLC, 2003, HEAD NECK-J SCI SPEC, V25, P10, DOI 10.1002/hed.10173
  14. Kim MK, 2004, ARCH OTOLARYNGOL, V130, P1214, DOI 10.1001/archotol.130.10.1214
  15. MARTIN H, 1951, CANCER, V4, P441, DOI 10.1002/1097-0142(195105)4:3<441::AID-CNCR2820040303>3.0.CO;2-O
  16. MAZZAFERRI EL, 1994, AM J MED, V97, P418, DOI 10.1016/0002-9343(94)90321-2
  17. Nanka O, 2006, Prague Med Rep, V107, P261
  18. NOGUCHI S, 1970, CANCER, V26, P1053, DOI 10.1002/1097-0142(197011)26:5<1053::AID-CNCR2820260513>3.0.CO;2-X
  19. Okada M, 2005, J THORAC CARDIOV SUR, V129, P825, DOI 10.1016/j.jtcvs.2004.06.016
  20. Ota S, 2001, KYOBU GEKA, V54, P1078
  21. Ota S, 2001, Kyobu Geka, V54, P1073
  22. Pereira JA, 2005, SURGERY, V138, P1095, DOI 10.1016/j.surg.2005.09.013
  23. Pereira JA, 2005, SURGERY, V138, P1100
  24. Roh JL, 2008, ANN SURG ONCOL, V15, P424, DOI 10.1245/s10434-007-9692-1
  25. Roh JL, 2008, ANN SURG ONCOL, V15, P2576, DOI 10.1245/s10434-008-0017-9
  26. Roh JL, 2007, ANN SURG, V245, P604, DOI 10.1097/01.sla.0000250451.59685.67
  27. Rouviere H, 1938, ANATOMY HUMAN LYMPHA
  28. Sasson AR, 2001, ARCH OTOLARYNGOL, V127, P304
  29. SCHEUMANN GFW, 1994, WORLD J SURG, V18, P559
  30. Scheumann GF, 1994, WORLD J SURG, V18, P567, DOI 10.1007/BF00353765
  31. Schummer W, 2004, ANESTH ANALG, V99, P1625, DOI 10.1213/01.ANE.0000138038.33738.32
  32. Shah J P, 1990, Oncology (Williston Park), V4, P61
  33. SHAH JP, 1992, AM J SURG, V164, P658, DOI 10.1016/S0002-9610(05)80729-9
  34. Shah JP, 1990, ONCOLOGY HUNTINGT, V4, P76
  35. Shah JP, 1990, ONCOLOGY HUNTINGT, V4, P72
  36. Shoup M, 2003, J AM COLL SURGEONS, V197, P191, DOI 10.1016/S1072-7515(03)00332-6
  37. Snyder SK, 2008, J AM COLL SURGEONS, V206, P123, DOI 10.1016/i.jamcollsurg.2007.07.017
  38. Stojadinovic A, 2002, SURGERY, V131, P636, DOI 10.1067/msy.2002.124732
  39. Sugitani I, 2004, SURGERY, V135, P139, DOI 10.1016/S0039-6060(03)00384-2
  40. Takizawa T, 1997, J THORAC CARDIOV SUR, V113, P248, DOI 10.1016/S0022-5223(97)70320-9
  41. Tavares MR, 2008, SURG TODAY, V38, P499, DOI 10.1007/s00595-007-3664-8
  42. Torlontano M, 2004, J CLIN ENDOCR METAB, V89, P3402, DOI 10.1210/jc.2003-031521

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
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