老年甲状腺微小乳头状癌颈部淋巴结转移规律研究进展

Emerging Insights into Cervical Lymph Node Metastasis for Elderly with Papillary Thyroid Microcarcinoma

随着世界人口老龄化日益严重,老年人在甲状腺微小乳头状癌(PTMC)中的比例逐渐增加。PTMC治疗方案的选择可直接影响预后与生活质量,而术前准确评估是否存在淋巴结转移是影响治疗决策及预后的关键因素。目前临床主要应用超声评估淋巴结状态,其准确性较低,故对老年PTMC淋巴结转移规律进行研究尤为重要。本文对PTMC患者淋巴结转移的相关风险因素作一综述,以期为老年PTMC患者的治疗提供临床依据。

As the global population ages,the number of elderly people with papillary thyroid microcarcinoma(PTMC)is steadily rising.The selection of a treatment plan has a direct impact on the prognosis and quality of life.A correct evaluation of lymph node metastasis before surgery is the crucial aspect that influences treatment decisions and prognosis.Currently,ultrasonography is mostly used for assessing the health of lymph nodes in clinical settings,however,its precision is limited.Hence,it is crucial to examine the lymph node metastatic pattern in older individuals with PTMC.This article examines the characteristics that increase the likelihood of lymph node metastasis in individuals with PTMC.The goal is to provide a clinical foundation for treating older people with PTMC.