Thyroid cancer 101: Do Not Go to Thyroid Surgery for thyroid cancer without a neck ultrasound. It can save you from going back later to get the lymph nodes present before the first surgery.

Thyroid cancer 101: Do Not Go to Thyroid Surgery for thyroid cancer without a neck ultrasound. It can save you from going back later to get the lymph nodes present before the first surgery.

Thyroid cancer 101: Do Not Go to Thyroid Surgery for thyroid cancer without a neck ultrasound. It can save you from going back later to get the lymph nodes present before the first surgery.
Thyroid cancer 101: Do Not Go to Thyroid Surgery for thyroid cancer without a neck ultrasound. It can save you from going back for another surgery later to get the lymph nodes present before the first surgery.
Dr.Guttler’s comments:
1. Lateral neck ultrasound before surgery has good diagnostic effectiveness for lateral neck cancer lymph nodes in Papillary thyroid cancer.
2. Come to see me before the first surgery.
3. Neck ultrasounds by ECNU certified experts can change the first surgery 25-30% to include neck dissection.
4. Saves you from a second surgery to remove the nodes present before the first surgery.
5. 310-393-8860 or thyroid.manager@protonmail.com
thyroid-surgery-complications

Meta-analysis of ultrasound for cervical lymph nodes in papillary thyroid cancer: Diagnosis of central and lateral compartment nodal metastases

European Journal of RadiologyZhao H, et al. | January 09, 2019

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Detailed lymph node mapping before the surgery can uncover hidden disease in the lateral neck to be biopsied and neck dissection added to the original surgery.

Up to September 2017, researchers searched PubMed, EMBASE and Cochrane Library databases to determine the performance of preoperative ultrasound in the diagnosis of cervical lymph node metastases (CLNM) of papillary thyroid cancer (PTC) and its ability to aid with cervical lymph node dissection (CLND). To evaluate the diagnostic effectiveness of ultrasound in detecting central and lateral CLNM of PTC, overall sensitivity, specificity, and diagnostic odds ratio (DOR) were used. In the meta-analysis, 19 studies with 4,014 subjects were included. The pooled sensitivity, specificity, DOR and area under curve (AUC) of ultrasound in identifying central CLNM were 0.33, 0.93, 5.63, and 0.69, respectively and lateral CLNM were 0.70, 0.84, 18.7 and 0.88, respectively. Overall, they found that preoperative ultrasound shows poor sensitivity in the diagnosis of central CLNM and good diagnostic effectiveness for lateral CLNM of PTC. Due to the high incidence of central CLNM and the low diagnostic effectiveness of ultrasound, prophylactic central CLND is suggested for PTC patients.

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