在cNO期甲状腺乳头状癌中常规行中央区淋巴结清扫术的意义  

To Investigate the Significance of Conventional Lymphadenectomy of the Central Compartment in cN0 Thyroid Papillary Carcinoma

作　　者：于家伟[1] 孔令宇[1] 管强[1] 张杰武[1] 

机构地区：[1]哈尔滨医科大学附属第三医院头颈甲状腺外科,黑龙江哈尔滨150040

出　　处：《中国伤残医学》2011年第3期3-4,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨在cNO甲状腺乳头状癌中常规行中央区淋巴结清扫术的临床意义。方法:对97例cNO甲状腺乳头状癌行甲状腺病灶根治性切除,同时行患侧中央区淋巴结清扫术,清扫标本常规送病理检查。结果:中央区淋巴结阳性率46.39%。原发灶侵犯包膜、癌灶>1cm者及年龄在45岁及45岁以上者阳性率显著升高,分别为63.04%,59.26%和72.00%。97例均无喉返神经损伤、永久性低钙抽搐等并发症发生。结论:cNO甲状腺乳头状癌常规行中央区淋巴结清扫术是必要的、安全的、可行的处理方式。Objective： To investigate the clinical significance of the central compartment lymph node dissection for cN0 papillary thyroid carcinoma.Methods： 97 patients with cNO thyroid papillary carcinoma were performed radical excision,and the central compartment lymph node dissection was routinely performed during the operation,the specimens were sent for routine histopathological examination.Results： The lymph node metastasis incidence is 46.39 % in 97 cN0 cases.In patients with invaded thyroid envelope,tumor mass diameter more than 1 cm and age of 45 or more than 45 years,the lymph node metastasis incidence was 63.04 %,59.26 % and 72.00 %.There were no such complications as laryngeal nerves injury and hypocalcemic tetany.Conclusion： It is necessary,safe and feasible to perform central compartment lymph node dissection during cN0 thyroid papillary carcinoma operation.

关 键 词：甲状腺乳头状癌 中央区淋巴结 

分 类 号：R815[医药卫生—放射医学]