分化型甲状腺癌区域淋巴结清扫策略及争议

Strategy and controversy of regional lymph node dissection applied to differentiated thyroid carcinoma

甲状腺乳头状癌颈部淋巴结转移出现早,但预后好。甲状腺切除手术和彻底合理的淋巴结清扫是公认治疗甲状腺癌的最佳选择。c N1病人需要行颈淋巴结清扫术,但c N0病人是否需要进行预防性中央区或颈侧区淋巴结清扫术仍有很多的争议。

Papillary thyroid carcinoma （PTC） has excellent prognosis. But metastasis to the cervical lymph node usually occurs early. Thyroideetomy and reasonable lymph node dissection are regarded as the best choices for thyroid carcinoma treatment widely. Patients with cN1 require the lymph node dissection. But for patients with cN0, the need of prophylactic central lymph node dissection or prophylactic modified neck dissection remains controversial.