甲状腺乳头状癌择区性颈淋巴清扫的争议和研究进展  

Research Progress in Selective Neck Dissection of Papillary Thyroid Carcinoma

作　　者：楼建林[1] 郑伟慧[1] 韩春[1] 王可敬[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《肿瘤学杂志》2015年第6期449-453,共5页Journal of Chinese Oncology

摘　　要：甲状腺乳头状癌预后较好,但颈淋巴结转移率高,常常是影响局部区域复发和患者生活质量的主要原因。初治甲状腺乳头状癌的侧颈部淋巴结处理至关重要,但清扫的指征和合理范围一直存在争议。全文就临床淋巴结阴性或阳性甲状腺乳头状癌患者侧颈部淋巴结的处理方式和择区性颈淋巴清扫的临床研究进展作一综述。Despite of good prognosis,the rate of cervical lymph node metastasis is high in papillary thyroid carcinoma（PTC）,which is the main factor affecting loco-regional recurrence and quality of life. Lymphatic metastasis of lateral neck should be paid more attention to initial treatment for PTC while the indication and optimal extent of neck dissection are controversial. The management of lateral cervical metastasis and research of selective neck dissection for PTC with clinical lymph node negative（c N0） or positive（c N＋） are reviewed in this article.

关 键 词：甲状腺肿瘤 癌 乳头状 淋巴结转移 颈淋巴结清扫术 

分 类 号：R736.1[医药卫生—肿瘤]