Clinical trial · Observational
Fascial Versus Standard Neck Dissection in Patients With N1b Papillary Thyroid Carcinoma
Fascial Versus Standard Neck Dissection in Patients With N1b Papillary Thyroid Carcinoma: a 4-year Analysis of Outcomes.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Optimal surgical technique for neck dissection (LND) in thyroid carcinoma remains a subject of debate. Fascial ND (FND) implies the removal of the superficial and middle layers of the deep cervical fascia en bloc with lymph-nodes containing fibro-fatty tissue (levels IIa-Vb and VI-VII for cN1b patients). This retrospective cohort study was designed to compare FND with standard, non-fascial, selective ND (SND).
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Patients With Papillary Thyroid Cancer and N1b Status | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Fascial Neck Dissection | Procedure | — | UNRESOLVED |
| Standard Neck Dissection | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- label
- Patients that underwent fascial dissection for N1b papillary thyroid cancer
- interventionNames
- Procedure: Fascial Neck Dissection
- label
- Patients that underwent ftandard dissection for N1b papillary thyroid cancer
- interventionNames
- Procedure: Standard Neck Dissection
Primary outcomes (2)
- measure
- Early loco-regional recurrence
- timeFrame
- Interventions 2018-2021, Final follow up January 2023
- description
- Locoregional recurrence within 1 year from operation
- measure
- Harvested lymph nodes
- timeFrame
- Interventions 2018-2021, Final follow up January 2023
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: Patients who met all the following criteria were eligible for inclusion in this retrospective evaluation: * Male or female patients, living or deceased, aged 18 years or older at the time of operation * Unilateral (left/right) or bilateral lateral neck dissection along with central neck dissection * Patients with papillary cancer, pN1b. This excludes patients with other types of thyroid cancer (e.g., medullary, follicular, and anaplastic); * Patients that underwent central and/or lateral neck dissection as a primary intervention. This excludes patients with any previous operation for thyroid disease involving any type of lymph node dissection. Exclusion criteria: patient's age \< 18 years, patients that underwent previous neck dissection of any type and patients who refused or were unable to provide adequate follow up data.
References
Publications (0)
Data not yet available