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Unilateral or bilateral neck node dissection was performed on 140 (54.7%) patients.
Of the 256 patients with laryngeal cancer, 63 (24.7%) were treated with total laryngectomy, 187 (73.0%) with partial laryngectomy including 46 patients (24.6%) with chordectomy and 6 (2.3%) did not receive surgery for the laryngeal cancers but had unilateral or bilateral neck node dissection.
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In the previous year, he had undergone a total laryngectomy, neck node dissection, and tracheostomy.
Central neck node dissection with modified radical neck dissection was performed on 27 patients; 20 with occult PTMC detected by cytologically confirmed enlarged cervical lymph nodes and 7 with suspected but not cytologically confirmed lateral neck nodes detected by ultrasonography.
Central neck node dissection was performed on 107 patients and lymph node metastases to the central neck node(s) were pathologically confirmed in 47 (stage N1a).
Routine central neck node dissection without modified radical neck dissection was performed on 129 patients, regardless of nodal metastasis observed during surgery.
The patient underwent total thyroidectomy and bilateral neck lymph node dissection.
In case of clinically positive lymph nodes, unilateral or bilateral neck dissection was performed, depending on the involvement of lymph nodes.
Over the following year, he underwent bilateral neck dissection for extensive regional lymph node metastasis followed by external radiation.
She subsequently underwent radical hysterectomy with bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection.
In one case, a total thyroidectomy was accompanied by bilateral lymph node dissection (see above).
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