{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T07:03:01Z","timestamp":1772348581926,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T00:00:00Z","timestamp":1565136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 CA0080748"],"award-info":[{"award-number":["P30 CA0080748"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The management of patients with incidentally discovered metastatic thyroid cancer in cervical lymph nodes in neck dissection specimens for other pathologies is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of neck dissection specimens for nonthyroid malignancy during a 30\u2010year period was undertaken to identify incidental metastatic papillary thyroid cancer (PTC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six patients had an incidental finding of PTC in lymph node(s) in neck dissection specimens. Subsequent ultrasound of the thyroid showed nodules in 20 patients. Eleven (42%) underwent total thyroidectomy, 1 (4%) had a lobectomy, and 14 (54%) were kept under active surveillance only. At a median follow\u2010up of 48\u2009months (range 10\u2010189 months), all patients who had undergone surgery and those under surveillance were free of PTC recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Evaluation for detection of a primary thyroid tumor is essential in all patients with incidentally discovered metastatic PTC. Decision regarding surgery or surveillance is dependent on clinical and radiological tumor features and patient factors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25905","type":"journal-article","created":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T13:03:41Z","timestamp":1565183021000},"page":"3783-3787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Significance and management of incidentally diagnosed metastatic papillary thyroid carcinoma in cervical lymph nodes in neck dissection specimens"],"prefix":"10.1002","volume":"41","author":[{"given":"Magis","family":"Mandapathil","sequence":"first","affiliation":[{"name":"Department of Surgery, Head &amp; Neck Service Memorial Sloan Kettering Cancer Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Lennon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Head &amp; Neck Service Memorial Sloan Kettering Cancer Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Ganly","sequence":"additional","affiliation":[{"name":"Department of Surgery, Head &amp; Neck Service Memorial Sloan Kettering Cancer Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Snehal G.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Surgery, Head &amp; Neck Service Memorial Sloan Kettering Cancer Center  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6444-6592","authenticated-orcid":false,"given":"Jatin P.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Head &amp; Neck Service Memorial Sloan Kettering Cancer Center  New York New York"},{"name":"Department of Oncology, Radiotherapy and Plastic Surgery Sechenov University  Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2017.06.004"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.EJ12-0311"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.12.029"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-015-4762-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19891101)64:9<1888::AID-CNCR2820640922>3.0.CO;2-C"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ando.2011.03.025"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221511700024X"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.1128"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000157841.63283.87"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3786-3"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2008.06.025"},{"key":"e_1_2_8_13_1","first-page":"633","article-title":"Thyroid follicle inclusions in cervical lymph nodes","volume":"77","author":"Gerard\u2010Marchant R","year":"1964","journal-title":"Arch Pathol"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-40618-3"},{"issue":"2","key":"e_1_2_8_15_1","first-page":"62","article-title":"Metastatic carcinoma of the thyroid gland as the initial manifestation of the disease","volume":"76","author":"Searls HH","year":"1952","journal-title":"Calif Med"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196605000-00002"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.2217\/fon.16.10"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2017.07.013"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880140606"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-003-0722-8"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.4131"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/17446651.2018.1449641"}],"container-title":["Head &amp; 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