Cancer and cancer treatments can affect your sexual health, fertility, or both. To make an appointment, call 646-608-8550. LGBT Cancer Projecthttp://lgbtcancer.com/ This happens because some of your nerves were cut during your surgery. If you wear contact lenses, wear your glasses instead. Caregiver Action Networkwww.caregiveraction.org800-896-3650 You can also visit LibGuides on MSKs library website at libguides.mskcc.org. National Cancer Legal Services Networkwww.nclsn.org Scar, 2 weeks after the total thyroidectomy for follicular adenoma and additional postoperative findings of micro PTC (1.24.13). The test results are usually ready in 1 week. The general procedure for an anterior cervical discectomy and fusionor ACDFsurgery includes the following steps: The skin incision is one to two inches and is be made on the left or right hand side of the neck. I had cancer in the parotid gland and it was removed with a neck dissection which left a deep horrible scar from the back of my right ear to the middle of my neck. The radical neck disecton was first described in 1906 by Crile, based on the Halstedian concept of en bloc resection. Some prescription pain medications can make you drowsy (very sleepy). Patient 2*. Moving around and walking will help lower your risk for blood clots and pneumonia (lung infection). After selective neck dissection two weeks ago from my ear right down my neck is numb. They may help you as you get ready for your surgery and recover after your surgery. Tumor excision in the neck with removal of lymph nodes (neck dissection) will leave a long scar that traverses the neck from around the ear to across the adams apple in many cases. A nurse will be keeping track of your body temperature, pulse, blood pressure, and oxygen levels. . We aimed to elucidate the risk factors associated with local . Helps qualifying patients without prescription drug coverage get free or low-cost medications. You can talk with a former MSK patient or caregiver through our Patient and Caregiver Peer Support Program. If you dont have drainage tubes, take a shower every day to clean your incision. CancerCare's services are free of charge. This is usually planned if there is evidence that several lymph nodes in the neck are affected, particularly if they are bulky. Ask your healthcare provider questions about drinking and surgery. This program offers workshops to learn things you can do to help you feel better about your appearance. It can be comforting to talk with someone who has been through a treatment like yours. East 67th Street between York and 1st avenues. An electrocardiogram (EKG) to check your heart rhythm. If your job involves lots of movement or heavy lifting, you may need to stay out a little longer than if you sit at a desk. Prevalence of lymphedema in patients with head and neck . Theyll also remind you where to go. Do not stop taking aspirin unless they tell you to. Nevertheless, strength and flexibility may be enhanced with adherence to neck and shoulder range of motion exercises after surgery. You must have JavaScript enabled to use this form. Lymph nodes are small oval or round glands along your lymphatic system. The drain doesnt hurt. Other syndromes associated with thyroid cancer: New Jersey Parathyroid Center at Jersey Shore University Medical Center, Endocrine Surgery at Jersey Shore University Medical Center, Primary Hyperparathyroidism in children and adolescents, Familial hypocalciuric hypercalcemia (FHH). As you read through these resources, write down questions to ask your healthcare provider. This will be one of the following locations: Go to bed early and get a full nights sleep. However totally ecased with no matasizing. Bobst International Center888-675-7722 Neck Scar royalty-free images 1,713 neck scar stock photos, vectors, and illustrations are available royalty-free. 2015 - Scar looking much better. For more information, call Dr. Allison Applebaums office at646-888-0200. Your conversations are private. In fact, selective neck dissections frequently produce no obvious cosmetic changes, yielding a nearly invisible scar. While we read all feedback, we cannot answer any questions. The scar is 4 years old and is still tender. Talk with your healthcare provider about possible side effects and when to start switching to over-the-counter pain medications. Many patients are unhappy and embarrassed by . This will make it easier for them to help you care for yourself if you have to go home with it. The area around your incision is starting to swell. This surgery is most often done to treat cancer of the head and neck. Tell your healthcare provider right away if you: Feel nauseous (like youre going to throw up). Visit the Cancer Types section of MSKs website at www.mskcc.org/types for more information. Free cancer legal advocacy program. The 5 levels are labeled using Roman numerals (I, II, III, IV, and V). A discectomy is a form of surgical decompression, so the procedure may also be called an anterior cervical decompression. Soon after you arrive in your room, your nurse will help you out of bed and into your chair. Sleep apnea is a common breathing problem. Eating a balanced diet with lots of calories and protein will help you heal after surgery. Try to eat a good protein source (such as meat, fish, or eggs) at each meal. You can learn about your diagnosis, what to expect during treatment, and how to prepare for your cancer care. The lymph nodes that were removed during your surgery will be checked by a pathologist after your surgery. Once your surgery is finished, your incision will be closed with staples or sutures (stitches). Walking is an excellent form of exercise. Procedure (s): Keloid Removal, Mole Removal, Scar Revision. They work closely with anesthesiology staff (specialized healthcare providers who will give you anesthesia during your surgery). If you go home with drainage tubes, dont shower until your healthcare provider removes your drain. Anyone can ask for spiritual support. Included in this tissue, which extends from the collarbone (clavicle) inferiorly to the jawbone (mandible) superiorly are dozens of lymph nodes. With OSA, your airway becomes fully blocked during sleep. Your care team cannot see anything you write on this feedback form. More importantly, sacrifice of the nerve to the trapezius muscle results in visible drooping of the shoulder and difficulty in raising the arm over head. . Patient Access Network Foundationwww.panfoundation.org866-316-7263 Call your healthcare providers office if: If you go home with staples or stutures in your incision, your healthcare provider will take them out during your first appointment after surgery. If you drink alcohol regularly, you may be at risk for other problems during and after your surgery. Gigantic thyroid gland that was removed in 42-year-old female (picture below). You can also schedule a consultation with a healthcare provider in the Integrative Medicine Service. Scar . 901 West Main Street This will drain fluid from around your incision and keep fluid from collecting under your skin. 412-693-6475 | | | | Home; About. Ask you if youve had any problems with anesthesia in the past, including nausea or pain. Our chaplains (spiritual counselors) are available to listen, help support family members, and pray. They remove germs from your body, help fight infection, and trap cancer cells. As always, all your medical information will be kept private. Loosely twist the scarf and wrap it at the neck, allowing the excess fabric to mask the scar. Your healthcare provider can refer you to MSKs Counseling Center. Youll have a PST appointment before your surgery. My scar 2 days after removing the stitches (first photo) and my scar now (second photo). Your healthcare provider will show you how to do the exercises and will give you written instructions at first appointment after surgery. MSK Librarylibrary.mskcc.org212-639-7439 If this happens, its a good idea to seek emotional support. Anterior cervical discectomy and fusion (ACDF) is a type of neck surgery that involves removing a damaged disc to relieve spinal cord or nerve root pressure and alleviate corresponding pain, weakness, numbness, and tingling. We can also help with insurance and employment issues. Her first surgery, the excision of her left thyroid lobe for 4 cm tumor, was one moth prior to this surgery and it was reported as a cancer on the final pathological evaluation, Scar in 2 weeks after the left thyroid lobectomy for a 5 cm follicular neoplasm, Scar in 1 year after minimally invasive total thyroidectomy, First photo with neck: A 51 year-old female with multinodular goiter and Hashimotos thyroiditis: scar in 2 weeks after total thyroidectomy, Second photo of thyroid gland: A 51 year-old female with multinodular goiter and Hashimotos thyroiditis: total thyroid gland after the removal, Scar in 2 weeks after total thyroidectomy for Graves disease in 53 year old female, Scar in 2 weeks after total thyroidectomy for Graves disease, Office Address: However, there are also other possible causes of scar formation in the cervical spinal anatomy: Repetitive strain injury, also known as RSI, is a major contributor to scar formation. Patient with papillary thyroid carcinoma who has had the first surgery 5 weeks prior (1/2 of the thyroid was removed). A large multinodular thyroid gland with extension of the entire right side into the right chest cavity. The numbness will go away over time. Typeset in 10 Minion by Macmillan Publishing Solutions, Bangalore-25 . Ask for the chaplain on call. Just the numbness and stiffness driving me crazy. For more information, read Exercises After Your Neck Surgery. They will help you get ready for your surgery and recover after your surgery. none chapter 13 name read chapter 13: manipulative and therapies, make sure that you take detailed notes on your reading. You Are Here: unblocked sticky ninja east london walking tour self guided neck dissection scar photos. The amount of alcohol you drink can affect you during and after your surgery. American Cancer Society (ACS)www.cancer.org I had my TT on 8th of February this year. Chapman was forced to undergo surgery to remove a plum-sized tumor from her throat. Caregivers Clinic646-888-0200www.mskcc.org/caregivers East 69th Street between 1st and 2nd avenues. A large incision is made to gain access to the lymph nodes in the neck. It causes you to stop breathing for short lengths of time while youre asleep. The most critical part of any parotid surgery is finding the facial nerve (CN VII) which is the cranial nerve that controls the movement of half of the face . Phone (732) 792-5003 Locally recurrent lesions on artificial ulcer scars are difficult to manage. They can be in person or over the phone. Some individuals develop pain in the neck and collarbone. Private Duty Nurses and Companions917-862-6373 See neck scar stock video clips Image type Orientation Color People Artists More Sort by Popular Healthcare and Medical Diseases, Viruses, and Disorders Halloween Hair and Skin Cosmetics scar neck surgery thyroid gland cosmetology Do not take too much of any medication. Removing this vein on one side of your neck wont cause any problems. This is very important if youre taking acetaminophen. Rather, allow the soap and water to run over your incision. Radiotherapy can alter the feel and colour of the tissue, the skin an. We offer seminars, workshops, support groups, and counseling on life after treatment. What is a neck dissection? It was the standard of care for the next 70 years. We can help before, during, or after your treatment. You may have tests to plan your care. Family and friends can help. Dr. Cheryl A. MacKechnie is board certified in otolaryngology and treats a broad range of ear, nose, and throat conditions. Admitting Office212-639-7606 Endoscopic submucosal dissection (ESD) is considered the treatment of choice for early gastric cancer (EGC) with a negligible risk of lymph node metastasis. The concept of neck dissection refers to systematic resection of lymph nodes from well-defined fascial compartments in the neck. Scar, 2 weeks after minimally invasive thyroid lobectomy surgery (1/2 of the thyroid removed), Scar, 2 weeks after minimally invasive total thyroidectomy, Scar, 2 weeks after minimally invasive thyroid lobectomy (1/2 of the thyroid removed). Wearing contact lenses during surgery can damage your eyes. Offers a variety of information and services, including Hope Lodge, a free place for patients and caregivers to stay during cancer treatment. Examples of over-the-counter medications for constipation include: Docusate sodium (Colace). Want to speak directly with Dr. Eppley? The gland was extending inside of her left chest cavity for about 4 -5 inches. . You do not have to have a religious affiliation (connection to a religion). Depending on the amount of lymph nodes removed, you may have a ReliaVac (see Figure 2) or Jackson-Pratt(see Figure 3) drain placed in your neck. Bleeding under the skin after a neck dissection is rare. UW-QOL Scores at Presentation by Neck Dissection View LargeDownload Table 4. Healthwell Foundationwww.healthwellfoundation.org800-675-8416 I take over-the-counter medications (medications I buy without a prescription), including patches and creams. A detailed description and pictures of your concerns allows for the most informed response. Take a cotton swab and dip it in the normal saline. A graduate of the University of Pittsburgh School of Medicine, she completed her residency in otolaryngology, head and neck surgery at the University of Pittsburgh Medical Center. The skin around your incision is warmer than usual. Apply a small amount of antibacterial ointment to the incision line with a clean cotton swab. Description: This woman developed a keloid scar on her mid upper lip after trauma. The immune cells in the lymph nodes help the body fight infection. Scar, 2 weeks after the total thyroidectomy for papillary thyroid carcinomas 3 cm and 3.2 cm in the right thyroid lobe. About Your Neck Dissection Surgery | Memorial Sloan Kettering Cancer Center Ready to start planning your care? Participants include men and women with an age range of 30-70. Pain medication should help you get back to your normal activities. Partnership for Prescription Assistancewww.pparx.org888-477-2669 Anesthesia212-639-6840 One doctor did injections which didnt really help it. it did leave the patient with the are usually able to leave the patient with only a scar that can uncomfortable task of explaining that it was a surgical pro-be hidden by clothes, . A member of your care team will tell you which medications to take the morning of your surgery. (202) 444-0757 Or contact us via email form below FIRST NAME LAST NAME PHONE NUMBER (OPTIONAL) E-MAIL YOUR MESSAGE Background: Head and neck cancer can spread to your lymph nodes. Exercise, if you can. The scar is 4 years old and is still tender. Cancer Neck Dissection Scar Before - After Pictures Posted on September 5, 2013 by James Babb I thought I should update my blog with pictures of how a neck dissection scar looks a few years after surgery. Use your incentive spirometer 10 times every hour youre awake. Im allergic to certain medication(s) or materials, including latex. Patient with Graves' Disease. Its also important to drink plenty of liquids. Head and neck cancer can spread to your lymph nodes. We're experts at telemedicine! Much of this scar can simply be cut out and reclosed along the skin line which it currently lies. You see drainage that looks like pus (thick and milky). The surgical technique incorporates shifting of the typical submental incision used in a full neck lift . Tobacco Treatment Programwww.mskcc.org/tobacco212-610-0507 Youll meet with a nurse before surgery. head and neck surgery 1,606 Neck Surgery Premium High Res Photos Browse 1,606 neck surgery stock photos and images available, or search for head and neck surgery to find more great stock photos and pictures. Because so much tissue is removed, one side of the neck may appear flatter than the other. If you have more questions about filling out a Health Care Proxy form, talk withyour healthcare provider. Surgery to remove the lymph nodes in one or both sides of the neck is called a neck dissection. A place where men, women, and children living with cancer find social and emotional support through networking, workshops, lectures, and social activities. Gildas Clubwww.gildasclubnyc.org212-647-9700 Once youre able to eat, youll get oral pain medication (medication you swallow). It was completely removed through the neck incision without splitting her chest bone (sternum), Scar, 3 months after a total thyroidectomy for follicular thyroid carcinoma in 73-year-old male patient. For more information, read About Your Recovery Tracker. A member of your care team will teach you how. Deng J, Ridner SH, Dietrich MS, et al. You may be getting oxygen through a thin tube that rests below your nose or a mask that covers your nose and mouth. It has important information about what to do to get ready. Youll also meet with an anesthesiologist before surgery. Our Integrative Medicine Service offers many services to complement (go along with) traditional medical care, including music therapy, mind/body therapies, dance and movement therapy, yoga, and touch therapy. The radical neck dissection was designed to ensure complete cancer removal in individuals with very advanced cancers in the neck. Visit our website for more information about Virtual Programs or to register. Exercising will help your body get into its best condition for your surgery and make your recovery faster and easier. An over-the-counter pain reliever will help with aches and discomfort. For more information, read Herbal Remedies and Cancer Treatment. Speak to your treatment team about ways to manage pain and regain movement. The type youll have depends on the cancers location, and if it spread to your lymph nodes or to other structures in your neck. Provides information and support for people with oral and head and neck cancer. Rarely, a blood transfusion is also needed. All rights owned and reserved by Memorial Sloan Kettering Cancer Center, 2023 Memorial Sloan Kettering Cancer Center, Human Oncology & Pathogenesis Program (HOPP), Gerstner Sloan Kettering Graduate School of Biomedical Sciences, High school & undergraduate summer programs, Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), or Vitamin E, Female Sexual Medicine & Womens Health Program, Male Sexual and Reproductive Medicine Program, Patient and Caregiver Peer Support Program, www.livestrong.org/we-can-help/fertility-services, FollowYourHealthcareProvidersInstructionsforTakingAspirin, Stop Taking Vitamin E, Multivitamins, Herbal Remedies, and Other Dietary Supplements, Stop Taking Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Instructions for Eating Before Your Surgery, Instructions for Drinking Before Your Surgery. Scar, 2 weeks after a total thyroidectomy with central neck lymph nodes (level 6 and 7) dissection for 2.5 cm (1 inch) papillary thyroid carcinoma in 22-year-old female. It will also help you start passing gas and having bowel movements (pooping) again. You can use it to help prevent constipation. If your healthcare provider gives you other instructions, follow those instead. People have pain or discomfort for different lengths of time. You may have a neck dissection if there is a high risk of the cancer spreading to the lymph nodes in your neck. To make an appointment, ask your healthcare provider for a referral or call the number above. This picture represents second scar 2 weeks after the second surgery. They will: When its time for your surgery, youll remove your eyeglasses, hearing aids, dentures, prosthetic devices, wig, and religious articles. Youll get disposable underwear, as well as a pad if needed. Choose liquids without alcohol or caffeine. If you're a patient at MSK and you need to reach a provider after. Controlling your pain will help you recover better. Our Female Sexual Medicine & Womens Health Program can help with sexual health problems, such as premature menopause or fertility issues. I smoke or use an electronic smoking device, such as a vape pen, e-cigarette, or Juul. NSAIDs can cause bleeding. Numbness of the skin along the incision as well as over the cheek, ear and neck can be anticipated which improves with time; some long term numbness can be anticipated, Long term swelling in the neck or lymphedema. Many people say they felt weepy, sad, worried, nervous, irritable, and angry at one time or another. Do not drive or drink alcohol while youre taking prescription pain medication. Youll either walk into the operating room or a staff member will bring you there on a stretcher. As your incision(s) heal, youll have less pain and need less pain medication. You can also ask your nurse about the program. My TT was 30 years ago, and hey I am still here, still dealing with this! You should also try to eat fruits, vegetables, and whole grains. Neck dissection is most commonly used in the management of cancers of the upper aerodigestive tract. The best results can be expected with faithful adherence to an exercise program over the long term. According to The Blast, the surgery lasted 12 hours. After 5:00 p.m., during the weekend, and on holidays, call 212-639-2000 and ask to speak to the person on call for your healthcare provider. We welcome patients from around the world and offer many services to help. Female Sexual Medicine & Womens Health Program646-888-5076 Your NP will review your medical and surgical history with you. Try to use the bathroom 5 to 15 minutes after meals. For more information, read How To Use Your Incentive Spirometer. They provide individual counseling and support groups throughout your treatment. Perioperative Nurse Liaison212-639-5935 Other veins in your neck will collect and circulate the blood on that side of your neck and face. Scar, 2 weeks after the right thyroid lobectomy (removal of the right side of the thyroid gland) for follicular adenoma that was measuring 4.5 x 2.1 x 3.1 cm (almost 2 inches in size), the scar is less than 2 inches. The skin around your incision is getting redder. This is a cross-sectional study of 106 consecutive patients with T1 and T2 (AJCC seventh edition) stage cancers. Polyethylene glycol (MiraLAX). The first step in coping is to talk about how you feel. Your healthcare provider will tell you when you can resume your normal activities during your post-operative visit. National LGBT Cancer Networkwww.cancer-network.org Sometimes an operative procedure to remove the blood is required. Your breathing device for sleep apnea (such as your CPAP device), if you have one. Gigantic total thyroid gland extended into the chest cavity on the left side and resulted in airway compression. This is usually 3 to 5 days after surgery. You have drainage or fluid coming fromyour incision. Theres a tunnel you can walk through that connects the garage to the hospital. Scar left side from ear to centre lower throat , horrible operation. Take enough medication to do your activities and exercises comfortably. Please do not write your name or any personal information on this feedback form. Neck injury can lead to scarring in the skin, in the muscles, in the connecting tissues, in the skeletal structures and in the nerves themselves. After your surgery, your caregiver will take you home when youre discharged from the hospital. Scar revision is performed to improve the appearance of scars caused by injury or previous surgery. Deng J, Murphy BA, Dietrich MS, et al. Complications are much less common and can include neck bleeding, permanent hypoparathyroidism that requires ongoing calcium replacement, and damage to . Surgery to remove lymph nodes in the neck (neck dissection) can cause changes in the neck and shoulder. The RLAC Program is for patients and their families who have finished treatment. These are live sessions where you can talk or just listen. Fax (732) 536-0919, Multidisciplinary Endocrine Oncology Clinic, Familial medullary thyroid cancer syndromes:MEN 2A, MEN2B, FMTC. Provides support and education to people affected by cancer. LIVESTRONG Fertility www.livestrong.org/we-can-help/fertility-services855-744-7777 I really hate it and it takes away from my appearance. For more information, talk with your healthcare provider or call the number above. Infection can occur after any surgical procedure including neck dissection (uncommon), Chyle leak, which results in fluid accumulation in the neck from disruption of the thoracic duct (this problem is more common after left sided neck dissections) (rare), Wound healing problems requiring additional surgery (rare), The marginal nerve, a small branch of the facial nerve which controls lower lip movement, The spinal accessory nerve which aids in shoulder mobility and raising the arm over head, The hypoglossal nerve, which controls movement of the tongue (uncommon), The lingual nerve, which controls sensation on the side of the tongue (rare), The vagus nerve which controls movement of one vocal cord (rare). The date, time, and location will be printed on the appointment reminder from your surgeons office. I have looked all over the internet for photos of the after surgery look and all I can find are the ones that just had the thyroidectomy. Neck dissection refers to the removal of lymph nodes and surrounding tissue from the neck for the purpose of cancer treatment. Its normal for the skin below your incision to feel numb. I take dietary supplements, such as herbs, vitamins, minerals, or natural or home remedies. For information about health care proxies and other advance directives, read, For information about being a health care agent, read. They also have information about financial resources, if youre having trouble paying your bills. Lymph nodes are small, bean shaped glands scattered throughout the body that filter and process lymph fluid from other organs. Neck dissection is usually performed to remove cancer that has spread to lymph nodes in the neck. If you also had surgery in your oral cavity or a free flap surgery, youll be able to control your pain medication using a PCA device. "We're told the Chapmans are worried about the . Ive had a problem with anesthesia (medication to make me sleep during surgery) in the past. Side effects of thyroid surgery are common and include neck pain, a sore throat, difficulty swallowing, hoarseness, and temporary hypoparathyroidism that usually resolves within a few weeks. The impact of secondary lymphedema after head and neck cancer treatment on symptoms, functional status, and quality of life. After that, youll slowly start eating solid food. Keep track of when you take your pain medication. I finished treatment on May 7, 2011 for cancer of the tonsil, BOT, and neck lymph nodes. Scar, 1year and 3 months after the total thyroidectomy with central neck (level 6 and 7) lymph nodes dissection for Papillary Thyroid Carcinoma (PTC). When you wake up after your surgery, youll be in the Post Anesthesia Care Unit (PACU). If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. If your nurse does not place the IV, your anesthesiologist will do it in the operating room. Use a clean swab each time you dip it into the saline. Cancer and Careerswww.cancerandcareers.org Counseling Center646-888-0200 Scar Revision. Also, most casinos introduced multiple-deck blackjack. Both over-the-counter and prescription medications are available to treat constipation. Monday to Friday, 8 a.m. to 6 p.m. (Eastern time), Monday to Friday, 9 a.m. to 5 p.m. (Eastern time). If you already filled one out or have any other advance directives, bring them to your next appointment. Q: I had cancer in the parotid gland and it was removed with a neck dissection which left a deep horrible scar from the back of my right ear to the middle of my neck. Scar, 2 weeks after a total thyroidectomy for small Papillary Thyroid Carcinoma. Call us at 833-347-1665 to make an appointment. It only takes 2 to 3 minutes. RxHopewww.rxhope.com877-267-0517 To make them easier to describe, the lymph nodes in your neck are divided into 5 levels (see Figure 1). A comprehensive neck dissection is a surgical operation which aims to remove all the lymph nodes in the neck, between the jaw and the collarbones. This includes water. Its important that you do them every day. At MSK, care does not end after your treatment. Scar, 2 weeks after a parathyroidectomy for parathyroid hyperplasia with removal of 3 and parathyroid glands, and simultaneous total thyroidectomy for multinodular goiter with findings of a micropapillary thyroid carcinoma. . Some people may go home with the drain in place. To reach the garage, turn onto East 66th Street from York Avenue. Youll still be able to move your neck without trouble. Here are things you can do before your surgery to keep from having problems: If you smoke, you can have breathing problems when you have surgery. A: While any scar can be cut out and reclosed by different methods (scar revision), the question is always whether it would be beneficial or not. Taking it when you first have pain is better than waiting for the pain to get worse. Talk with you about the kind of anesthesia youll get. If you have not already filled out a Health Care Proxy form, we recommend you do now. Your healthcare provider may recommend you clean your incision with an antibacterial ointment such as Bacitracin. To help us continue caring for you, well send questions to your MyMSK account every day for 10 days after you leave the hospital. Dont rub the area around your incision. Follow your healthcare providers instructions for stopping your prescription pain medication. Scar, 2 weeks after a total thyroidectomy with central neck lymph nodes (level 6 and 7) dissection for papillary thyroid carcinoma.
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