Should central lymph node dissection be considered for all XXXX ?

@entity1 @entity3747 @entity13587 @entity5 @entity1600 @entity86 @entity7172
BACKGROUND: @entity1600 ( @entity1600 ) in @entity1 with @entity7172 ( @entity7172 ) is still controversial. The aim of this study was to examine the risk factors and the incidence of central lymph node metastases (CLNMs) in @entity1 with @entity7172 who underwent thyroidectomy and @entity1600 . @entity1 AND METHODS: Between 2002 and 2013, 613 @entity1 were enrolled who underwent thyroidectomy with routine @entity1600 for @entity7172 at the Korea University Medical Center, Ansan Hospital and risk factors and the incidence of CLNM were analyzed. In addition, we also evaluated the complications after thyroidectomy with @entity1600 . RESULTS: Out of 613 @entity1 , 239 (39.0%) were found to have CLNM. Male sex (p  =  0.012), @entity5 size >=  0.5  cm (p  =  0.001), capsular invasion or extrathyroidal extension (p  =  0.029), and multifocality (p  =  0.004) were independent risk factors for CLNM. Among the 69 @entity1 who had @entity7172 without these risk factors, CLNM was identified in 12 (17.4%). In this study group, two (0.3%) had permanent recurrent @entity13587 , two (0.3%) had persistent @entity3747 , and two (0.3%) developed @entity86 . CONCLUSION: CLNM in @entity7172 is highly prevalent in male sex, @entity5 size >=  0.5  cm, extrathyroidal extension, and multifocality. Even in @entity7172 @entity1 without these risk factors, the incidence of CLNM is rather higher than expected, and the complication rate of thyroidectomy with @entity1600 is acceptable. Thus, @entity1600 should be considered in all @entity1 with @entity7172 .
