甲状腺微小乳头状癌颈部中央区淋巴结转移的临床特点分析  

Clinical characteristics of intermediate-cervical lymph node metastasis of papillary thyroid microcarcinoma

作　　者：庞飞雄[1] 张嘉越[1] 冷津立[1] 李松明 PANG Fei-xiong ZHANG Jia-yue LENG Jin-li LI Song-ruing(Department of General Surgery,NO. 303 Hospital of Chinese People＇s Liberation Army,Nanning 530021, China)

机构地区：[1]中国人民解放军第三○三医院普通外科,南宁市530021

出　　处：《广西医学》2017年第10期1505-1507,共3页Guangxi Medical Journal

摘　　要：目的分析甲状腺微小乳头状癌(PTMC)颈部中央区淋巴结转移的临床特点及影响因素。方法回顾性分析249例PTMC患者的临床资料,探讨PTMC患者颈部中央区淋巴结转移的临床特点及影响因素。结果 PTMC患者颈部中央区淋巴结转移率为39.8%(99/249)。单因素、多因素分析结果均显示,年龄<45岁、肿瘤多灶、肿瘤直径>5 mm、肿瘤穿透被膜是影响颈部中央区淋巴结转移的危险因素。结论 PTMC患者颈部中央区淋巴结转移率较高,对于年龄<45岁、肿瘤多灶、肿瘤直径>5 mm、肿瘤穿透被膜的患者更应警惕中央区淋巴结转移的可能。Objective To analyze the clinical characteristics and influencing factors of intermediate-cervical lymph node metastasis of papillary thyroid microcarcinoma（PTMC）. Methods Clinical data of 249 patients with PTMC were analyzed retrospectively to investigate the clinical characteristics and influencing factors of intermediate-cervical lymph node metastasis in patients with PTMC. Results The rate of intermediate-cervical lymph node metastasis was 39.8% （99/249） in patients with PTMC. The results of univariate and multivariate analysis showed that age 〈45 years,multffocal tumor,tumor diameter 〉 5 mm,and extranodal extension were the risk factors influencing intermediate-cervical lymph node metastasis. Conclusion The rate of iiatermediate-ccrvical lymph node metastasis is quite high among patients with PTMC. We should be alert to patients with age 〈45 years,multifocal tumor,tumor diameter 〉5 mm,and extranodal extension for the possibility of intermediate-cervical lymph node metastasis.

关 键 词：甲状腺微小乳头状癌 中央区淋巴结转移 危险因素 临床特点 

分 类 号：R736.1[医药卫生—肿瘤]