甲状腺乳头状癌中央区淋巴结处理  

Surgical management of gland and central compartment lymph node in papillary thyroid carcinoma

作　　者：李小毅[1] 董云伟[2] 胡神保 

机构地区：[1]中国医学科学院北京协和医院基本外科,北京100730 [2]太原山西医科大学第二临床医学院,030001

出　　处：《中华内分泌外科杂志》2017年第4期268-271,共4页Chinese Journal of Endocrine Surgery

摘　　要：PTC近年来呈高发态势，尽管多数患者生存预后良好，但疾病复发并不少见。外科手术治疗仍是其最基本的治疗方式，手术首先涉及腺体的处理及颈部中央区淋巴结清扫的问题。在临床实践中，手术指征、具体的手术范围仍存在诸多的争议。本文对PTC、包括微小癌的腺体切除、中央区淋巴结清扫的指征、范围及主要的手术并发症情况逐一阐述。The incidence of papillary thyroid carcinoma （PTC） has been increasing in the past decades. The overall survival （OS） of most FFC patients is satisfied, however, recurrence is not rare. Surgical management is the basic treatment for PTC. The first step of surgery includes gland resection and lymph node dissection of central compartment. Several controversies remain in the indications and range of surgery. In this article, the progress of gland management, lymph node dissection in central compartment and complications in PTC/papillary thyroid microcareinoma were reviewed.

关 键 词：甲状腺乳头状癌 微小乳头状癌 腺体切除 中央区淋巴结清扫 

分 类 号：R736.1[医药卫生—肿瘤]