Abstract
From 1992 to 2001, sixteen patients with recurrent thyroid carcinoma were treated at our department. In this series, 12 patients had a clinical recurrence in the cervical lymph nodes, and 4 patients had a local recurrence. There was no recurrence after the accord operation. Three cases with local recurrence underwent total thyroidectomy with paratracheal lymph node dessection. One case who had cervical lymph node metasis at level V underwent total thyroidectomy with lateral neck dessection. Neck dessection was performed for 12 patients who had recurrent lymph node metastasis, m-RND was performed in 6 cases; SOND in 2 cases; lateral neck dessection in 3 cases. No case had pathological lymph node metasis at the lower level VII. We concluded that lateral neck dessection is a reasonable method in cervical lymph node recurrence of thyroid carcinoma.
