甲状腺乳头状癌颈部淋巴结转移的研究进展

Research Progress of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma

临床上颈部淋巴结转移是甲状腺乳头状癌(PTC)最主要的转移途径,转移顺序通常是由中央区转移至颈侧区,其发病隐匿,诊断较困难,手术方案的选择尚未统一,本文就PTC颈部淋巴结转移的一般规律、高危因素、诊断、治疗及预后等情况作一个综述,期望为临床筛选PTC颈部淋巴结转移高危患者、确定合理的治疗方案提供帮助。

Cervical lymph node metastasis is the main transfer pathway of papillary thyroid carcinoma（ PTC）,the transfer order is usually from the central zone to lateral area. The diagnosis is difficult because of its occult onset,and the surgical scheme has not yet unified. Here we reviewed general rules,risk factors,diagnosis,treatment and prognosis of cervical lymph node metastasis in PTC, in order to help clinic screen high- risk patients with cervical lymph node metastasis of PTC and determine the reasonable treatment options.