Original Article

Lymph node metastasis between sternocleidomastoid and sternohyoid muscle in clinically node-positive papillary thyroid carcinoma

Guohua Sun MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

The first two authors contributed equally to this work.

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Yu Wang MD,

Yu Wang MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

The first two authors contributed equally to this work.

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Yongxue Zhu MM,

Yongxue Zhu MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Yulong Wang MD,

Yulong Wang MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Kuan Xu MD,

Kuan Xu MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Wenjun Wei MD,

Wenjun Wei MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Hui Li MM,

Hui Li MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Zhongwu Lu MM,

Zhongwu Lu MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Qinghai Ji MD,

Corresponding Author

Qinghai Ji MD

[email protected]

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaSearch for more papers by this author

Guohua Sun MM,

Guohua Sun MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

The first two authors contributed equally to this work.

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Yu Wang MD,

Yu Wang MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

The first two authors contributed equally to this work.

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Yongxue Zhu MM,

Yongxue Zhu MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Yulong Wang MD,

Yulong Wang MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Kuan Xu MD,

Kuan Xu MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Wenjun Wei MD,

Wenjun Wei MD

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Hui Li MM,

Hui Li MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Zhongwu Lu MM,

Zhongwu Lu MM

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

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Qinghai Ji MD,

Corresponding Author

Qinghai Ji MD

[email protected]

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaSearch for more papers by this author

First published: 28 August 2012

https://doi.org/10.1002/hed.23099

Citations: 13

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Abstract

Background

There have been few reports on lymph node metastasis between sternocleidomastoid and sternohyoid muscle (originally LNSS) in clinically node positive (cN+) papillary thyroid carcinoma (PTC). Therefore, our objective was to investigate the significance of LNSS metastasis.

Methods

A total of 115 patients with cN+ PTC underwent a neck dissection with LNSS, as a separate pathologic specimen to be analyzed for the correlation between LNSS and sex, age, tumor size, tumor site, initial or reoperative treatment, lateral cervical lymph nodes, and central compartment metastasis.

Results

The positive rate of LNSS was 22.6%. LNSS metastasis was correlated with a primary site in the inferior pole, the lateral nodal metastasis, level III and level IV nodal metastasis, but not with other clinical parameters.

Conclusion

In cN+ PTC, especially a primary site in the inferior pole, level III and/or level IV metastasis, attention should be given to excising the nodal tissue in LNSS. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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Volume35, Issue8

August 2013

Pages 1168-1170

Lymph node metastasis between sternocleidomastoid and sternohyoid muscle in clinically node-positive papillary thyroid carcinoma

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

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Lymph node metastasis between sternocleidomastoid and sternohyoid muscle in clinically node-positive papillary thyroid carcinoma

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

Related

Information