Juniper Publishers- Prophylactic Central Neck Dissection in the Management of Papillary Thyroid Carcinoma; is there a Meaningful Outcome?

Prophylactic Central Neck Dissection in the Management of Papillary Thyroid Carcinoma; is there a Meaningful Outcome?

Authored by Sohail Bakkar Papillary thyroid carcinomas are favorable prognosis cancers. Most patients have an excellent long term overall survival rate. As a result, disease-free survival has replaced overall survival as the main outcome of interest when effective initial management of these tumors is considered. The role of prophylactic central neck dissection represents an area of ongoing controversy in this regards. Our groups’ opinion is that in the context of available literature, performing central neck dissection routinely fails to provide a clinically meaningful outcome and only condemns patients to its potential serious sequelae.

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