What is Endocrinology - . What factors into the initial surgical procedure's scope?
The final surgery for thyroid cancer should be the first one. The degree of lymph node metastases in the anterior lateral cervical lymph node chains can be determined by preoperative neck ultrasonography (US). Due to its ability to distinguish malignant lymph node characteristics beyond their size, ultrasound (US) is superior than computed tomography (CT) and magnetic resonance imaging (MRI). A near-total thyroidectomy with lymph node excision is the preferred surgery for thyroid cancer that has already spread to lymph nodes and is more than 1 cm in size. A hemithyroidectomy might be sufficient if the main tumour is less than 1 cm. It is debatable if prophylactic central neck lymph node removal is necessary because there aren't any research showing that it improves survival (prophylactic because central neck lymph nodes cannot be seen with an intact thyroid in place).
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