부산대학교 도서관

Background & Method: The aim of present study is to assess the status of cervical lymph nodes by Multislice CECT and Doppler USG in patients With Thyroid carcinoma. All patients underwent total thyroidectomy and neck dissection. The neck dissection sample was labeled separately according to the cervical levels II-VI. Lateral compartment neck dissection (levels II-V) was performed in 14 of 20 patients with at least one lymph node metastasis in the neck from level II to level V. Six of twenty patients underwent central compartment neck dissection including level VI or VI and VII after cytological confirmation of the benign status of any suspicious lymph node on either side of the lateral neck, as determined by preoperative CT or USG. Result: The detection of cervical lymph node in carcinoma thyroid by CECT was 18/20(90%) cases and by USG/ Doppler it was 15/20 (75%) with p value 0.025 for USG/ Doppler and 0.011 for CECT Neck both was significant. A total of 68 nodal levels were detected in the 20 patients. Metastatic lymph nodes were found from 42 nodal level by multi slice CECT and 34 nodal levels by USG/ Doppler. Conclusion: The study group consisted of 14 female patients and 6 male patients. The youngest patient in this study was 16 years old and the oldest was 78 years old and the mean is 47 years. Papillary carcinoma thyroid is the commonest followed by Follicular and Medullary carcinoma. Clinical palpation is the most common method of evaluation of cervical lymph nodes. FNAC is an excellent first line investigation in the diagnosis of carcinoma thyroid. On FNAC the most frequent diagnosis is papillary carcinoma. [ABSTRACT FROM AUTHOR]