甲状腺乳头状癌颈侧区淋巴结转移的危险因素研究进展  

Research progress in risk factors of lateral lymph node metastasis in papillary thyroid carcinoma

作　　者：郑福庆 张立永[1] 王波[1] 颜守义[1] 赵文新[1] Zheng Fuqing;Zhang Liyong;Wang Bo;Yan Shouyi;Zhao Wenxin(Department of Vascular and Thyroid Surgery,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院血管与甲状腺外科,福州350001

出　　处：《中华普通外科学文献（电子版）》2020年第5期384-387,共4页Chinese Archives of General Surgery(Electronic Edition)

基　　金：福建省医学创新课题(2018-CX-17);福建省卫生计生委青年科研课题(2017-2-22);福建医科大学启航基金项目(2017XQ1037)。

摘　　要：颈侧区淋巴结转移(LLNM)是甲状腺乳头状癌(PTC)患者术后预后不良的重要预测因素。手术前LLNM的漏诊将增加复发风险以及伴随的二次手术。对于具有LLNM危险因素的PTC患者,应放宽颈侧区肿大淋巴结穿刺活检指征,有助于术前发现更多隐匿的颈侧区转移淋巴结,制定更恰当的颈部淋巴结清扫范围。因此,本文就PTC患者LLNM规律及危险因素作一综述。Lateral lymph node metastasis is an important predictor of poor prognosis in patients with papillary thyroid carcinoma(PTC).Missed diagnosis of lateral lymph node metastasis before surgery will increase the risk of recurrence and the accompanying secondary surgery.For the enlarged lateral lymph nodes of PTC patients with risk factors,it may be recommended to extend the indications of fine-needle aspiration cytology to find out more occult metastatic lateral lymph nodes and develop a more appropriate range of cervical lymph node dissection.Thus,this article reviews the pattern and risk factors of lateral lymph node metastasis in PTC.

关 键 词：甲状腺肿瘤 癌 乳头状 淋巴转移 危险因素 

分 类 号：R736.1[医药卫生—肿瘤]