分化型甲状腺癌颈淋巴结清扫范围分析  

Region of cervical lymph node dissection for differentiated thyroid carcinoma

作　　者：彭江涛[1] 杨可[1] 张旭[1] 

机构地区：[1]漯河市中心医院普外科,河南漯河462000

出　　处：《中华实用诊断与治疗杂志》2014年第8期784-785,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨分化型甲状腺癌(differentiated thyroid cancer,DTC)颈淋巴结转移区域特点。方法 92例DTC患者,将手术切除癌肿及清扫的颈淋巴结标本按区域标记并逐一进行组织病理观察,确定肿瘤原发部位及颈淋巴结转移区域。结果本组中76例为乳头状癌,16例滤泡状癌;颈淋巴结转移率为42.4%(39/92),T1-2颈淋巴结转移率17.2%(11/64),其中LevelⅥ区占100.0%,LevelⅣ区占9.1%;T3-4颈淋巴结转移率100.0%(28/28),其中LevelⅥ区占100.0%,LevelⅣ区占25.0%,LevelⅢ区占10.7%。结论 DTC颈淋巴结转移率高,转移区域以同侧为主,以LevelⅥ区、LevelⅣ区常见。Objective To explore the metastasis characteristics of cervical lymph node in patients with differentiated thyroid carcinoma.Methods Ninety-two patients with differentiated thyroid carcinoma received surgical therapy,The carcinoma and the cervical lymph node in the operation were marked and the pathological sections were observed to identify the primary foci and the metastasis region in cervical lymph node.Results There were 76 cases of papillary thyroid carcinoma and 16 cases of follictalar thyroid carcinoma.The metastasis rate of cervical lymph node was 42.4%（39/92）,and was 17.2%（11/64）in T1-2patients（100.0%in levelⅥ and 9.1%in levelⅣ）and 100.0%（28/28）in T3-4patients（100.0%in levelⅥ,25.0%in levelⅣ and 10.7%in levelⅢ）.Conclusion The metastasis rate of cervical lymph node is higher in patients with differentiated thyroid carcinoma.The metastasis is mainly ipsilateral and commonly found in levelⅥ and levelⅣregions.

关 键 词：分化型甲状腺癌 转移 颈淋巴结清扫术 

分 类 号：R736.1[医药卫生—肿瘤]