Conclusions
RG is not an uncommon encounter for head and neck surgeons. Its
management requires a long-standing experience in the classical
transcervical approach that may be sufficient in over 90% of treated
cases. Despite a growing body of publications, we still have no shared
definition of RG and this continues to bring in heterogeneity in the
literature because it hampers a formal comparison and synthesis of the
results. We believe that reaching an international consensus among head
and neck and endocrine surgeons on the very definition and
classification/grading of RG is a priority in order to seriously compare
outcomes by data pooling and to increase the evidence in this field. A
second priority is the definition of the natural course of this
condition since it is likely in the near future that we will face more
and more incidental RG as the use of neck imaging is becoming
widespread.
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