甲状腺乳头状癌临床病理特征及中央区淋巴结清扫的临床分析

Pathological analysis and central lymph node dissection in patients with papillary thyroid cancer

目的探讨甲状腺乳头状癌的临床病理特征和中央区淋巴结清扫的临床意义。方法选择2010年3月至2013年2月收治的80例甲状腺乳头状癌患者的临床病理特征,统计分析中央区淋巴结的转移情况并进行术后随访。结果中央区淋巴结转移个数与原发灶T分期有关(P<0.05),80例患者的临床病理特征和肿瘤大小差异较大。随访的结果显示,2例患者死亡,4例患者再次手术后存活。结论术前应明确诊断淋巴结转移,及时清扫淋巴结。临床诊断应结合多种病理特征做出正确的病理诊断,进而指导临床治疗和预后判断。

Objective To investigate the pathological analysis and central lymph node dissection in patients with papillary thyroid cancer. Methods A total of 80 patients with papillary thyroid cancer were selected from February 2010 to March 2013. Clinical pathological characteristics, metastasis of central lymph node and post-surgery follow-up were observed and analyzed. Results The number of metastasis of central lymph node correlated with primary tumor T stage （ P 〈 0. 05 ）. Pathological characteristics and tumor sizes were different among 80 patients with papillary thyroid cancer. Results of follow-up showed 2 cases died and 4 cases survive after secondary surgery. Conclusions Lymph node metastasis should be con- firmed before surgery, and lymph node dissection should be promptly conducted. Several pathological characteristics should be combined for exact clinical diagnosis and further guide clinical treatment and prognosis.