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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
引用本文:庞飞雄,张嘉越,冷津立,李松明. 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[J]. 广西医学, 2017, 39(10). DOI: 10.11675/j.issn.0253-4304.2017.10.13
作者姓名:庞飞雄  张嘉越  冷津立  李松明
作者单位:中国人民解放军第三○三医院普通外科,南宁市,530021
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.

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

Clinical characteristics of intermediate-cervical lymph node metastasis of papillary thyroid microcarcinoma
PANG Fei-xiong,ZHANG Jia-yue,LENG Jin-li,LI Song-ming. Clinical characteristics of intermediate-cervical lymph node metastasis of papillary thyroid microcarcinoma[J]. Guangxi Medical Journal, 2017, 39(10). DOI: 10.11675/j.issn.0253-4304.2017.10.13
Authors:PANG Fei-xiong  ZHANG Jia-yue  LENG Jin-li  LI Song-ming
Abstract: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,multifocal tumor,tumor diameter >5 mm,and extranodal extension were the risk factors influencing intermediate-cervical lymph node metastasis.Conclusion The rate of intermediate-cervical 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 .
Keywords:Papillary thyroid microcarcinoma  Intermediate-cervical lymph node metastasis  Risk factor  Clinical characteristics
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