Is it possible to rule out level II and level VB dissection in patients with metastatic papillary thyroid cancer?
Routine dissection of level IIa is recommended in N1b PTC due to high metastasis rates. However, level IIb dissection may be omitted in selected cases given its low metastasis rate and potential morbidity, with intraoperative frozen section serving as a useful guide. Similarly, level Vb dissection may be avoided when lateral lymph nodes are <2 cm, multilevel involvement is absent, and ultrasonographic findings are negative.
Authors
- Hamit Yücel Barut
- Sezer Akbulut (ORCID: https://orcid.org/0000-0003-4362-2240)
- Tuğba Matlım Özel (ORCID: https://orcid.org/0000-0001-6305-2957)
- Fatih Mert Doğukan (ORCID: https://orcid.org/0000-0001-7825-8296)
- Gorkem Yildiz (ORCID: https://orcid.org/0009-0003-5453-6935)
- Serkan Sarı (ORCID: https://orcid.org/0000-0003-2918-1776)
- Aykut Çelik (ORCID: https://orcid.org/0000-0002-0478-7723)
Institutions
- University of Health Science (KH)
- Sağlık Bilimleri Üniversitesi (TR)
- University of Health Sciences Antigua (AG)
Publication Details
- Journal
- Frontiers in Endocrinology
- Published
- 2025-08-11
- DOI
- https://doi.org/10.3389/fendo.2025.1520539
- Primary Topic
- Thyroid Cancer Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00