Central lymph node metastasis (CLNM) in frozen sections accurately predicted neck lateral lymph node metastasis (NLLNM) in patients with papillary thyroid carcinoma (PTC). Furthermore, risk factors for NLLNM metastasis were identified, including maximum metastatic diameter, total number, and ratio of metastatic lymph nodes (LNs). Based on these findings, patients with PTC with >5 CLNMs, 2-5 CLNMs, and maximum metastatic diameter >2mm should be considered for extended lateral neck lymph node dissection, aiding in the selection of patients who can benefit from this procedure.
Journal Article by Peng L, Zheng X (…) Yu S et 3 al. in Ann Med