分化型甲状腺癌颈淋巴结转移特点的回顾性分析  

Retrospective Analysis of Pattern of Cervical Lymph Node Metastasis in Differentiated Thyroid Carcinoma

作　　者：龚龙[1] 易春华[1] 陈文奎[1] 童彦初[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院普外三科,湖北荆州434020

出　　处：《肿瘤防治研究》2012年第1期48-50,共3页Cancer Research on Prevention and Treatment

摘　　要：目的探讨颈部淋巴结转移阳性的分化型甲状腺癌患者颈淋巴结转移特点及其相关临床特征,为甲状腺癌的诊治提供一个参考依据。方法统计分析我院行甲状腺癌根治+颈淋巴结功能性清扫术的41例分化型甲状腺癌患者的临床资料,总结颈淋巴结转移特点。结果本组共41例,颈淋巴结转移阳性38例;Ⅱ、Ⅲ、Ⅳ、Ⅵ区淋巴结转移常见(Ⅳ区转移率为56.1%,Ⅱ、Ⅲ、Ⅵ区均为46.3%)这四组间差异无统计学意义(P>0.05)。Ⅰ区、Ⅴ区少有淋巴结转移(转移率分别为9.7%、12.2%),与Ⅱ、Ⅲ、Ⅳ、Ⅵ区比较差异有统计学意义(P<0.05)。结论分化型甲状腺癌颈淋巴结转移者Ⅱ、Ⅲ、Ⅳ、Ⅵ区转移常见,Ⅰ区、Ⅴ区少有淋巴结转移,建议手术中常规清扫Ⅱ、Ⅲ、Ⅳ、Ⅵ区颈淋巴结。Objective To explore the pattern of lymph node metastasis of differentiated thyroid carcinoma and its clinical significanced Methods Clinical and pathological data of 41 differentiated thyroid cancer patients who underwent radical thyroidectomy and modified radical neck dissection were collected and retrospectively analyze. Results There were 38 cases positive cervical lymph node metastasis in the 41 cases. Cervical lymph node metastasis was commonly seen in region IV （56.1%） and regions Ⅱ , Ⅲ , Ⅵ （46.3 % ）, there was no significant difference among the four groups. There were few metastatic lymph nodes in region I and V （9.7% and 12.2%, respectively）, which had significantly different compared with regions Ⅱ , Ⅲ, Ⅳ, Ⅵ. The sensitivity of ukrasonograph that identified cervical lymph node metastases was high（97.4 % ）. Conclusion When positive cervical lymph node metastasis are considered in differentiated thyroid carcinoma, the patients deserve formal Ⅱ , Ⅲ , Ⅳ, Ⅵ regions cervical lymph node dissection.

关 键 词：甲状腺肿瘤 淋巴结转移 超声检查 淋巴结切除术 

分 类 号：R736.1[医药卫生—肿瘤]