45例甲状腺髓样癌患者颈部淋巴结转移规律及术式探讨  

The patterns of cervical lymph node metastasis and the surgical treatment for untreated medullary thyroid carcinoma

作　　者：金玲爽[1] J IN Linshuang(Department of Head and Neck Surgery,Tumar Hospital of Shanxi Province,030013,China)

机构地区：[1]山西省肿瘤医院头颈外科,太原030013

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第19期1504-1506,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨甲状腺髓样癌(MTC)患者颈部淋巴结转移规律及初治手术方式。方法:回顾性分析45例MTC患者初治病例资料,探讨其颈部淋巴结转移规律。结果:颈部淋巴结发生转移共34例(75.6%),其中中央区淋巴结转移18例(40.0%),侧颈部淋巴结转移30例(66.7%),双侧颈淋巴结转移2例(4.4%)。隐匿性淋巴结转移24例(53.3%)。结论:建议明确诊断为MTC的患者,应常规行甲状腺全切+中央区淋巴结清扫+侧颈部淋巴结清扫术。Objective：To study the features of cervical lymph node metastasis and the optimal type of surgical treatment for untreated medullary thyroid carcinoma.Method：To retrospectively analyze the clinical data of 45 patients with untreated medullary thyroid carcinoma who received surgical treatment in our hospital.The patterns of cervical lymph node metastasis and the surgical treatment were investigated.Result：34（75.6%）cases were confirmed with lymph node metastasis.Among them,18（40.0%）cases were confirmed with central lymph node metastasis;30（66.7%）cases with lateral lymph node metastasis;2（4.4%）cases with bilateral lateral lymph node metastasis;24（53.3%）cases with occult lymph node metastasis.Conclusion：Total thyroidectomy,central and bilateral neck dissection should be recommended for medullary thyroid carcinoma.

关 键 词：甲状腺肿瘤 髓样癌 淋巴结转移 

分 类 号：R736.1[医药卫生—肿瘤]