分化型甲状腺癌颈淋巴结转移趋势及术式选择

Metastatic trend of lymph node in neck and reasonable operation way of well-differentiated thyroid cancer

目的:探讨分化型甲状腺癌颈部淋巴结转移趋势及合理的手术方式。方法:回顾性分析经病理组织学证实的501例分化型甲状腺癌的临床资料。结果:501例患者中除失访13例外,余患者5年生存率为93.8%,10年生存率为84.8%。在随访期内,术后颈部复发率为3.59%。结论:分化型甲状腺癌颈淋巴结转移存在着不恒定性,有待于进一步研究。采用合理的区域清扫术对减少复发有一定的意义。

To study the metastatic trend of lymph node and reasonable operation way of well - differentiated thyroid cancer. Methods： To analyze clinical data of 501 patients with well -differentiated thyroid cancer. Results： In fol- low - up 13 patients were lost, in the other patients the 5 -year survival rate was 93.8%, the 10 - year was 84.8 % , the recurrent rate was 3.59%. Conclusion： Lymph node metastasis in neck of well -differentiated thyroid cancer is unstable. Regional lymph node dissection is worth to be introduced.