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Sentinel lymph node dissection for thyroid malignancy.

P I Haigh1, A E Giuliano

  • 1John Wayne Cancer Institute, Santa Monica, CA 90404, USA.

Recent Results in Cancer Research. Fortschritte Der Krebsforschung. Progres Dans Les Recherches Sur Le Cancer
|June 17, 2000
PubMed
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Sentinel lymph node dissection (SLND) accurately assesses lymph node status in thyroid cancer. While identifying sentinel nodes with minimal morbidity, its clinical utility for prognosis remains under investigation.

Area of Science:

  • Oncology
  • Surgical Pathology

Background:

  • Sentinel lymph node dissection (SLND) is established for melanoma and breast cancer.
  • The sentinel node concept is being explored for other solid tumors, including thyroid carcinoma.

Purpose of the Study:

  • To present the technique, results, and morbidity of SLND during thyroidectomy.
  • To discuss the potential utility of SLND in well-differentiated and medullary thyroid carcinoma.

Main Methods:

  • SLND performed during thyroidectomy for suspected thyroid malignancy.
  • Identification of sentinel nodes using vital blue dye.
  • Examination of excised sentinel nodes for micrometastases.

Main Results:

  • SLND successfully identifies sentinel nodes in thyroid cancer with minimal morbidity.

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  • Negative sentinel nodes suggest the remaining cervical nodes are likely negative.

    • Conclusions:

    • The false negative rate and prognostic impact of SLND in thyroid cancer require further investigation.
    • The overall clinical utility of SLND for thyroid carcinoma is less clear compared to melanoma or breast cancer due to debatable prognostic significance of lymph node metastasis.