Cancer De Tiroides

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ANORL-186; No. of Pages 10

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European Annals of Otorhinolaryngology, Head and Neck diseases (2012) xxx, xxx—xxx

Available online at

www.sciencedirect.com

RECOMMANDATIONS

French ENT Society (SFORL) practice guidelines for lymph-node management in adult differentiated thyroid carcinoma
B. Guerrier a, J.P. Berthet b, C. Cartier a, D. Dehesdin c, A.Edet-Sanson d, G. Le Clech e, R. Garrel a,∗, R. Kania f, M. Makeieff a, C. Page g, S. Poirée h, G. Potard i, J.M. Prades j, C. Righini k, F. Roussel l, M.E. Toubert m
a

ENT & Head Neck Surgery Department, University Hospital Center of Montpellier, 191, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex, France b Thoracic and Vascular Surgery Department, University Hospital Center of Montpellier,191, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex, France c ENT & Head Neck Surgery Department, University Hospital Center of Rouen, 1, rue de Germont, 76031 Rouen cedex, France d Nuclear Medicine Department, University Hospital Center of Rouen, 1, rue de Germont, 76031 Rouen cedex, France e ENT & Head Neck Surgery Department, University Hospital Center of Rennes, 2, rue Henri-Le-Guilloux,35033 Rennes cedex 9, France f ENT & Head Neck Surgery Department, AP—HP Lariboisière, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France g ENT & Head Neck Surgery Department, University Hospital Center of Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France h Radiology Department, University Hospital Center of Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France i ENT & Head NeckSurgery Department, University Hospital Center of Brest, 2, avenue Foch, 29609 Brest cedex, France j ENT & Head Neck Surgery Department, University Hospital Center of Saint-Étienne, 42055 Saint-Étienne cedex 2, France k ENT & Head Neck Surgery Department, University Hospital Center of Grenoble, BP 217, 38043 Grenoble cedex 09, France l Pathology Department, University Hospital Center of Rouen, 1, ruede Germont, 76031 Rouen, France m Nuclear Medicine Department, AP—HP Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France

Introduction
Cervical and mediastinal lymph-node management differentiated thyroid carcinoma of the follicular epithelium (DTC) remains controversial. Depending on the situation, pre-operative staging and indications for and extent of lymph-node dissectionare still matters of debate, even in case of palpable nodes found on primary surgery. Procedural indications for adenectomy, selective neck dissection,

The full text of these recommendations will be published in French language in http://www.orlfrance.org/ download.php?id=159. ∗ Corresponding author. E-mail address: r-garrel@chu-montpellier.fr (R. Garrel).

1879-7296/$ – see front matter ©2012 Published by Elsevier Masson SAS. doi:10.1016/j.anorl.2012.07.001

Please cite this article in press as: Guerrier B, et al. French ENT Society (SFORL) practice guidelines for lymph-node management in adult differentiated thyroid carcinoma. European Annals of Otorhinolaryngology, Head and Neck diseases (2012), doi:10.1016/j.anorl.2012.07.001

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B. Guerrier et al. • what is lymph-node involvement in DTC? • what information can anatomopathologic lymph-node examination provide? • what is the prognostic value of lymph-node invasion: for recurrence, and for survival?

2 and anatomic regional extension of dissection are not clearly defined. Attitudes in suspected recurrence during follow-up need to be laid down. The principles of DTCmanagement in France are founded on the French Endocrinology Society (Société Francaise ¸ d’Endocrinologie) 2007 guidelines for the management of DTC of vesicular origin [1] (consensus guidelines), the 2006 and 2009 American Thyroid Association guidelines [2,3] (consensus guidelines), and the good practice guide for cervical ultrasound scan and echo-guided techniques in treating differentiated...