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Mohammad A. Alessa, Haddad H. Alkaf, Amjad O. Aljohani, Reyan H. Merdad, Anas I. Alserif, Layan S. Alhemayed, Noor Z. Farsi, Thamer A. Alsufyani, Ameen Z. Alherabi and Sherif K. Abdelmoni
Yunus Emre State Hospital, Turkey
ScientificTracks Abstracts: Surg Case Rep
Introduction: Papillary thyroid carcinoma (PTC) is the most prevalent type of thyroid cancer. It is one of the most common types of malignancy of the thyroid that spreads to cervical lymph nodes. Lymph node metastasis (LNM) is an important factor when determining recurrence risk and determining the extent of lymph node involvement can guide treatment. Our main objective is to evaluate the association between the size of the tumor and the number of lymph node metastases in patients with PTC. Methods: We conducted an electronic retrospective chart review of 125 patients with PTC followed in the Head and Neck Department at KAMC from 2009 to 2020. Twenty-two patients included in our study were pathologically and clinically diagnosed and confirmed to have LNM of PTC. Results: The study included 22 PTC patients who had undergone lymph node dissections. Patients had a median age of 38.8 years (IQR = 32.2–54.5) and the median tumor size was 20.5 mm. The most commonly affected level of the neck was IV (76.2%). Distant metastasis M1 was seen in only two patients (9.1%). Tumors sizes >30mm (75%) had ≥5 LNM. Most cases were the classic subtype PTC. For the site of the tumor, the site had a significant impact on the number of LNM (p = 0.004). Multifocality had a high impact on LNM (p = 0.019). Conclusions: This study showed no association between the size of PTC and the number of LNMs. The bilaterality of PTC was significantly associated with a high number of LNMs. Recent Publications 1. Rare presentation of metastatic renal cell carcinoma to thyroid gland: A case report 2. Thyroid neoplasm in Makkah region, Saudi Arabia. A retrospective epidemiological study 3. Reconstruction of facial dermatofibrosarcoma protuberans using an anterolateral thigh flap: a case report and literature review
He is currently working as a assistant executive director of patient affairs at king saud university - Medical city (king khalid university hospital) and he also worked as a hospital executive administrator at prince faisal ben fahad sports medicine hospital, Riyadh, Saudi Arabia.
