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. 2017 Jun 19;7:122. doi: 10.3389/fonc.2017.00122

Table 1.

Summary of recommendations from consensus groups regarding performance of prophylactic central neck lymph node dissection (CLND) for papillary thyroid cancer (PTC).

Consensus group Year Recommendations for prophylactic CLND for PTC
American Thyroid Association (41) 2015 Consider for T3/T4 tumors or clinically involved lateral neck nodes or if the information will impact further steps in therapy
National Comprehensive Cancer Network (42) 2016 Consider for patients with T3/T4 tumors, but must weight against the risk of hypoparathyroidism and nerve injury
British Thyroid Association (43) 2014 Benefit is unclear in high-risk patient, such that decision-making should be personalized. Bilateral CLND should be performed over ipsilateral CLND
European Society of Endocrine Surgeons (44) 2014 To be considered for patients with high-risk features, including T3/T4 tumors, extremes of age, male gender, bilateral/multifocal disease, clinically positive lateral lymph nodes. To be performed in specialized centers
Japanese Society of Thyroid Surgeons/Japanese Association of Endocrine Surgeons (45) 2011 To be performed routinely