影响甲状腺乳头状癌颈侧淋巴结转移的高危因素

High risk factors for cervical lymph node metastasis in papillary thyroid cancer

目的探讨影响甲状腺乳头状癌(PTC)颈侧淋巴结转移的高危因素。方法选择2011-01-2018-03间在云浮市人民医院接受手术的120例PTC患者,对其临床资料进行回顾性分析。结果 120例患者中颈侧淋巴结转移82例,其中79例(96.3%)为中央区转移、3例(3.7%)为侧颈部淋巴结转移。PTC颈侧淋巴结转移的发生与性别、原发病灶大小、肿瘤位置、合并结节性甲状腺肿、合并桥本甲状腺炎等因素密切相关(P<0.05)。结论 PTC颈侧淋巴结转移高发人群为男性,肿瘤的大小、位置、合并结节性甲状腺肿、合并桥本甲状腺炎,均为影响PTC颈侧淋巴结转移的高危因素。

Objective To explore the risk factors of cervical lymph node metastasis in papillary thyroid cancer.Methods Totally 120 patients with papillary thyroid cancer treated in our hospital from January 2011 to March 2018 were selected.The clinical data of all the subjects were analyzed retrospectively,and the occurrence of cervical lymph node metastasis of papillary thyroid cancer and its high risk factors were evaluated.Results Among 120 cases of papillary thyroid cancer,82 cases had cervical lymph node metastasis,of which 79 cases(96.3%) had only central metastasis and 3 cases(3.7%) had only lateral cervical lymph node metastasis.The occurrence of cervical lymph node metastasis of PTC was closely related to gender,size of primary lesion,location of tumors,thyroid papillary carcinoma with nodular goiter and Hashimoto’s thyroiditis(P<0.05).Conclusion The high risk group of cervical lymph node metastasis of papillary thyroid cancer is male.The size of primary lesion,location of tumor,papillary thyroid cancer with nodular goiter and Hashimoto’s thyroiditis are all high risk factors for cervical lymph node metastasis of papillary thyroid cancer.