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Letters to the Editor
April 2003

The Impact of Nodal Metastases on Prognosis of Well-Differentiated Thyroid Cancer Suggests the Practice of Prophylactic Neck Dissection

Arch Otolaryngol Head Neck Surg. 2003;129(4):495-496. doi:10.1001/archotol.129.4.495-a

Recent articles have focused on the impact of lymph node metastases in well-differentiated thyroid cancer, including an impressive study of 522 patients published in the July 2002 issue of the ARCHIVES.1,2 Considering follicular and papillary carcinomas together, Beasley and colleagues1 found significantly lower disease-free and survival rates in patients who presented with neck node metastases, compared with patients without lymph nodes. However, although the authors recruited a large cohort of patients, only 3 deaths occurred during the 56-month follow-up.

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