Thyroidectomy and Lymph Node Dissection in Papillary Thyroid Carcinoma

Table 2

Indications for prophylactic central node dissection for patients with papillary carcinoma in various guidelines and in our department.

Kuma Hospital	Routinely recommended
JSTS/JAES	Routinely recommended
ATA	May be performed for T3 or T4 patients
BTA	Male gender, age >45 yrs, tumor size >4 cm, and extracapsular or extrathyroidal disease
NCCN	Can be considered for patients with age <15 yrs or >45 yrs,; radiation history, distant metastasis, bilateral nodularity, extrathyroidal; extension, tumor size >4 cm, and aggressive variant