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Invited Critique
October 2000

Indications for Bilateral Modified Radical Neck Dissection in Patients With Papillary Carcinoma of the Thyroid—Invited Critique

Arch Surg. 2000;135(10):1199. doi:10.1001/archsurg.135.10.1199

The authors of this study are advocating prophylactic contralateral modified neck dissection for patients they define as being at high risk for developing contralateral neck disease. These data were based on the fact that contralateral nodal recurrence was associated with a poor prognosis. I believe their data define a group of patients with poor prognosis, but the authors fail to provide data that would indicate that bilateral neck dissection would alter outcome.13

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