摘要
目的探讨cN0期甲状腺微小乳头状癌预防性颈中央区淋巴结清扫的价值。方法对54例cN0期甲状腺微小乳头状癌作回顾分析。结果48例行单侧腺叶+峡部切除,清扫同侧中央区淋巴结;全甲状腺切除6例,清扫双侧中央区淋巴结。13例单侧中央区淋巴结转移(24.1%),术后并发暂时性喉返神经麻痹3例,暂时眭甲状旁腺功能减退2例,治疗后恢复正常,并发症发生率9.3%。结论cN0期甲状腺微小乳头状癌中央区淋巴结转移率高,预防性清扫中央区淋巴结是必要的。
Objective To evaluate prophylactic central lymph node (CLN) dissection tor patient with cN0 papillary thyroid microcarcinoma (PTMC). Methods 54 patients of oN0 PTMC were retrospective re- viewed. Results Of the 54 patients, 48 patients underwent lobeetomy with isthmectomy and ipsilateral CLN dissection, while 6 patients received total thyroideetomy with bilateral CLN excision. The total rates of CLN metasta- sis was 24.1% (13/54). The occurrence rates of complication was 9.3% (5/54). Included 3 cases of temporary recurrent laryngeal nerve paralysis and 2 cases of temporary hypoparathyroidism. Conclusions Metastasis in CLN of cN0 PTMC are relatively common, it's necessary to perform prophylactic CLN dissection.
出处
《中华内分泌外科杂志》
CAS
2010年第2期98-99,共2页
Chinese Journal of Endocrine Surgery
关键词
甲状腺乳头状癌
微小癌
颈淋巴结清扫
Papillary thyroid carcinoma
Mierocarcinoma
Redical neck dissection