[Clinical study on papillary adenocarcinoma of the thyroid]

Disagreement still exists in relation to the extent of thyroid resection and lymph node dissection for papillary adenocarcinoma. Twenty eight cases comprise the present study. Seventy four percent of all cases studied revealed metastatic regional nodes, even in t1-cases, 73% of the treated cases showed metastatic nodes. The present results suggest that a modified neck dissection of the ipsilateral nodes would seem necessary in treating this carcinoma. Lobectomy with modified neck dissection is feasible, if the tumor is localized, but if it is not, then a total or subtotal thyroidectomy, combined with modified neck dissection, is necessary.