甲状腺乳头状癌颈部淋巴结转移的临床评估进展  

Progress of Clinical Evaluation of Cervical Lymph Node Metastasis in Thyroid Papillary Carcinoma

作　　者：吕春艳[1] 廖曼各 张丽林[1] 孙玮笛 任艳鑫[2] 李晓江[2] LYU Chun-yan;LIAO Man-ge;ZHANG Li-lin(Kunming Medical University ,Kunming 650500, Chin)

机构地区：[1]昆明医科大学,云南昆明650500 [2]云南省肿瘤医院,云南昆明650118

出　　处：《肿瘤学杂志》2018年第4期297-302,共6页Journal of Chinese Oncology

基　　金：国家自然科学基金资助项目(81260312);昆医联合专项(2014FZ037)

摘　　要：甲状腺乳头状癌（papillary thyroid carcinoma,PTC）是甲状腺癌最常见的组织学分型,预后极好,但常发生区域淋巴结转移,如何早期发现隐匿性淋巴结转移是临床工作的一大重点及难点。PTC治疗以手术为主,但对c N0期（临床无淋巴结转移的确切证据）患者预防性清扫中央区及侧颈区淋巴结的争议较大。全文就PTC淋巴结转移的术前、术中评估和危险因素构成的临床评估进展作一综述。Papillary thyroid carcinoma is the most common histological type of thyroid cancer,and the prognosis is excellent. But regional lymph node metastasis often occurs,and early detection of occult lymph node metastasis is a great emphasis and difficulty in clinical work. The treatment of PTC is given priority to surgery,but precautionary cleaning of central and lateral cervical lymph nodes in patients with c N0（the exact evidence of no lymph node metastasis） is more controversial.This paper reviews the progress of clinical assessment of PTC lymph node metastasis in preoperative,intraoperative assessment and risk factors.

关 键 词：甲状腺乳头状癌 隐匿性淋巴结转移 术前评估 前哨淋巴结活检 危险因素 

分 类 号：R736.1[医药卫生—肿瘤]