原发灶不明的颈部淋巴结甲状腺乳头状转移癌的临床治疗  

Clinical treatment of metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites

作　　者：庞玉娟[1] 陈晓红[2] 张景义[1] 高景利[1] 

机构地区：[1]华北理工大学附属医院开滦总医院内分泌科,河北唐山063000 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第13期1013-1016,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨原发灶不明的颈部淋巴结甲状腺乳头状转移癌的诊断、治疗和预后。方法:总结2009-2015年5例原发灶不明的颈部淋巴结甲状腺乳头状转移癌患者的临床资料。结果:依据术前检查,2例仅行颈部淋巴结切除,另3例行甲状腺次全切或全切加颈清;病理结果均显示颈部为甲状腺乳头状癌,原发灶甲状腺正常。随访时间1~7年,无复发。结论:原发灶不明的颈部淋巴结甲状腺乳头状转移癌是否切除甲状腺宜慎重。Objective：To discuss the diagnosis, treatment and prognosis of metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites. Method： The clinical data of 5 patients involved papillary thyroid carcinoma with cervical lymph nodal metastasis with occult primary sites from 2009 to 2015 were analyzed. Result：According to preoperation examinations, two of them only underwent neck lymph node resection and three patients underwent asubtotal or total thyroidectomy plus neck lymph node dissection. All the pathological results showed that there were metastatic papillary thyroid carcinoma in cervical lymph nodal, but the primary sites of thyroid tissue were normal. After 1 to 7 year follow-up, there was no recurrence. Conclusion：Whether to take the thyroidectomy need to be carefully considered thyroidectomy in patients with metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites.

关 键 词：不明原发灶 甲状腺肿瘤 颈部淋巴结转移 治疗 

分 类 号：R739.6[医药卫生—肿瘤]