Utility of surgeon-performed ultrasound assessment of the lateral neck for metastatic papillary thyroid cancer

Cortney Y. Lee, Samuel K. Snyder, Terry C. Lairmore, Sean C. Dupont, Daniel Jupiter

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88% and 97%, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management.

Original languageEnglish (US)
Article number973124
JournalJournal of Oncology
DOIs
StatePublished - 2012
Externally publishedYes

Fingerprint

Neck
Lymph Nodes
Neck Dissection
Fine Needle Biopsy
Cell Biology
Papillary Thyroid cancer
Surgeons

ASJC Scopus subject areas

  • Oncology

Cite this

Utility of surgeon-performed ultrasound assessment of the lateral neck for metastatic papillary thyroid cancer. / Lee, Cortney Y.; Snyder, Samuel K.; Lairmore, Terry C.; Dupont, Sean C.; Jupiter, Daniel.

In: Journal of Oncology, 2012.

Research output: Contribution to journalArticle

@article{1eac25a72c3347879da7d0f1728780b9,
title = "Utility of surgeon-performed ultrasound assessment of the lateral neck for metastatic papillary thyroid cancer",
abstract = "Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88{\%} and 97{\%}, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management.",
author = "Lee, {Cortney Y.} and Snyder, {Samuel K.} and Lairmore, {Terry C.} and Dupont, {Sean C.} and Daniel Jupiter",
year = "2012",
doi = "10.1155/2012/973124",
language = "English (US)",
journal = "Journal of Oncology",
issn = "1687-8450",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Utility of surgeon-performed ultrasound assessment of the lateral neck for metastatic papillary thyroid cancer

AU - Lee, Cortney Y.

AU - Snyder, Samuel K.

AU - Lairmore, Terry C.

AU - Dupont, Sean C.

AU - Jupiter, Daniel

PY - 2012

Y1 - 2012

N2 - Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88% and 97%, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management.

AB - Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88% and 97%, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management.

UR - http://www.scopus.com/inward/record.url?scp=84863025496&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863025496&partnerID=8YFLogxK

U2 - 10.1155/2012/973124

DO - 10.1155/2012/973124

M3 - Article

JO - Journal of Oncology

JF - Journal of Oncology

SN - 1687-8450

M1 - 973124

ER -