摘要
目的:探讨甲状腺乳头状微小癌颈部淋巴结转移的相关因素,以及一期手术时行择区性淋巴结清扫术的意义。方法:甲状腺乳头状微小癌患者82例中,术中冷冻病理诊断为甲状腺乳头状微小癌者60例(第1组),行择区性颈淋巴结清扫术;术中冷冻病理诊断为甲状腺良性疾病者22例(第2组),未行择区性淋巴结清扫术。结果:行择区性颈淋巴结清扫术60例中,13例(21.67%)出现颈部淋巴结转移;最大直径<0.7cm与≥0.7cm的肿瘤转移率分别为4.76%和30.77%,差异有统计学意义(P<0.05)。所有患者平均随访59.8个月,无复发和死亡,未发现远处转移。结论:甲状腺乳头状微小癌具有一定比例的颈部淋巴结转移率,尤其对于肿瘤最大直径≥0.7cm者行择区性淋巴结清扫术是更有效的治疗方法。
Objective:To analyze the factors of lymph node metastasis in papillary thyroid microcarcinoma and to evaluate the significance of the selective neck dissection. Method: Records of 82 patients with papillary thyroid microcarcinoma were retrospectively analyzed. Sixty patients were received a selective neck dissection (Group 1), while twenty-two were not (Group 2). Result: In Group 1,13 patients were found metastasis. The incidence of metastasis was 21. 67% (13/60). The frequency of nodal metastasis with a carcinomaS0. 7 cm was 4. 76%, while 90.7 cm was 30.77%( P 〈0.05). All patients were followed-up from 9 to 14 years(mean 59.8 months). No patients relapsed or died, and no one was found distant metastasies. Conclusion: The papillary thyroid microcarcinoma had a high tendency to metastasize. It is more significant to perform selective neck dissection in tumors 0.7 cm.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第15期679-682,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
上海市卫生局资助课题(No:044051)
关键词
甲状腺肿瘤
乳头状癌
淋巴结清扫术
Thyroid neoplasms
Papillary carcinoma
Neck dissections