%0 Journal Article
%T Factors predicting contralateral nodal spread in papillary carcinoma of thyroid.
%A Verma H
%A Shah N
%A Jain P
%A Manikantan K
%A Sharan R
%A Arun P
%J Indian J Cancer
%V 0
%N 0
%D Jan 2021 27
%M 33753605
%F 1.397
%R 10.4103/ijc.IJC_684_19
%X <B>UNASSIGNED: </B>Lymph node metastasis (LNM) is evident in about 20-50% of cases at presentation in papillary carcinoma thyroid (PTC). There are no clear recommendations for the need and extent of lateral and central compartment dissection in PTC.<BR><B>UNASSIGNED: </B>A total of 83 patients who underwent total thyroidectomy and bilateral selective neck dissection for diagnosed PTC from September 2011 to October 2017 were retrospectively analyzed.<BR><B>UNASSIGNED: </B>Tumor site was bilobar or involving isthmus in 40 patients. Contralateral LNM was seen in 42 patients. Both radiological (median size 2.6 cm, P = 0.051) and pathological (median size 3.65 cm, P = 0.015) size of tumor, tumor involving isthmus or bilateral lobes (P = 0.006), and lymphovascular invasion (LVI) (P = 0.026) had significant correlation with contralateral LNM.<BR><B>UNASSIGNED: </B>Size and site of tumor, ipsilateral lateral compartment nodes involvement, and LVI status of tumor significantly increases the probability of contralateral LNM in patients of PTC.