甲状腺癌患者临床颈淋巴结阴性的中央区颈淋巴清扫术  

Central compartment neck dissection for cN0 papillary thyroid carcinoma

作　　者：罗文政[1] 贺小柏[1] 石冬梅[1] 魏运辉[1] 唐亿华[1] 周何强[1] 王一风[1] 

机构地区：[1]江西省肿瘤医院头颈外科,江西南昌330029

出　　处：《中国耳鼻咽喉头颈外科》2007年第6期328-330,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨中央区颈淋巴清扫术在甲状腺乳头状腺癌(papillary thyroid carcinoma,PTC)临床颈淋巴结阴性(cN0)患者术中的应用价值。方法回顾性分析1999年1月～2004年6月我院46例cN0的PTC患者临床资料,术中常规手术探查颈部Ⅵ区淋巴结并清扫送检。结果46例患者有11例(23.9%)患者发现淋巴结阳性,4例Ⅵ区淋巴结阳性患者术后颈部复发再次行颈部淋巴结清扫术。结论对cN0的PTC应常规行Ⅵ区淋巴结探查,在技术纯熟的前提下尽量清除中央区淋巴脂肪组织。OBJECTIVE To evaluate the value of central compartment neck dissection for cN0 papillary thyroid carcinoma. METHODS The clinical data of 46 cases with cN0 papillary thyroid carcinoma in our hospital from Jan. 1999 to June 2004 were retrospectively studied. The level Ⅵ lymph nodes were removed during the operation. RESULTS In 46 cN0 cases, there were 11 cases （23.9 %） pathologically proved lymph nodes metastasis after operation. Four patients developed neck recurrence and underwent neck dissection. CONCLUSION It is necessary to probe the level Ⅵ lymph nodes during the operation for cN0 papillary thyroid carcinoma patients.

关 键 词：甲状腺肿瘤 腺癌 乳头状 颈淋巴结清扫术 

分 类 号：R736.1[医药卫生—肿瘤]