Review Article

The Role of Prophylactic Central Neck Dissection in Differentiated Thyroid Carcinoma: Issues and Controversies

Table 2

A comparison of cancer-specific mortality between those who underwent a total thyroidectomy and prophylactic neck dissection (CND+ group) and those who underwent a total thyroidectomy only (CND− group).

First author/yearNumber of patientsFollowup duration (months)Cancer-specific mortalityP valueFirst author/yearNumber of patients
CND+ groupCND− groupCND+ groupCND− group

Tisell/1996 [28]195199 [62];
167 [63]
156 months
(median)
1.6%8.4%–11.1%Not reported
Sywak/2006 [5]P-56, A391CND−: 70 months
CND+: 25 months
(median)
0%0%Not significant
Roh/2007 [23]P-40, B
T-42 (26/42 with lateral neck dissection)
7352 months
(mean)
0%0%Not significant

CND−: thyroidectomy alone, CND+: thyroidectomy plus central neck dissection; P: prophylactic, T: therapeutic; A: unilateral, B: bilateral.