Avtor/Urednik		Santrač, Nada; Bešić, Nikola; Buta, Marko; Oruci, Merima; Djurišić, I.; Pupić, Gordana; Petrovic, L; Ito, Yasuhiro; Dzodić, Radan
Naslov		Lymphatic drainage, regional metastases and surgical management of papillary thyroid carcinoma arising in pyramidal lobe
Tip		članek
Vol. in št.		Letnik 61, št. 1
Leto izdaje		2014
Obseg		str. 55-59
ISSN		0918-8959 - Endocrine journal
Jezik		eng
Abstrakt		Papillary thyroid carcinoma (PTC) arising in pyramidal lobe (PL) is very rare. The aim of this study was todetermine the incidence of single PTC focus in PL and its lymphonodal metastases, as well as to present a single surgeonexperience in management of PL PTC. We performed a retrospective analysis of records of all patients surgically treatedfor PTC in our institution from year 2003 to 2013. Only patients with single PTC focus in PL were included. Out of total753 patients, majority (66.52%) had PTC focus in one of the lobes, while only 3 patients (0.4%) had solitary PTC focus inPL. They were all females, aged 36, 41 and 22. During surgery, methylene-blue dye was injected peritumoraly. Afterfrozen section analysis of excised PL and isthmus and confirmation of malignancy, we performed total thyroidectomy withcentral neck dissection, as well as sentinel lymph node biopsy in both jugulo-carotid regions. Pathology showedencapsulated PTC stage T1 and solitary metastasis in Delphian lymph node of the youngest patient. All patients weredisease free in the follow-up. PTC single focus in PL is very rare and only individual experiences can be discussedregarding the extent of the surgery.
Proste vsebinske oznake		rak ščitnice onkologija kirurgija