| cN0甲状腺乳头状癌74例治疗分析 |
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| 引用本文： | 孙建光,胡浩忠,戴亚伟,陶国卫,张芸. cN0甲状腺乳头状癌74例治疗分析[J]. 中国癌症杂志, 2011, 21(4). DOI: 10.3969/j.issn.1007-3969.2011.04.012 |
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| 作者姓名： | 孙建光 胡浩忠 戴亚伟 陶国卫 张芸 |
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| 作者单位： | 浙江省海盐县人民医院普外科,浙江,海盐,314300 |
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| 摘 要： | 背景与目的:临床颈淋巴结阴性(cN0)甲状腺乳头状癌是否行颈部淋巴结清扫术、清扫范围以及清扫时机等是国内外学者长期争论的焦点.本研究通过对cN0甲状腺乳头状癌手术治疗结果分析,评价中央区淋巴结清扫的安全性和有效性,探讨cN0甲状腺乳头状癌患者清扫侧颈区淋巴结的必要性.方法:回顾性分析1999年1月-2006年12月间74例cN0甲状腺乳头状癌患者的手术治疗疗效.结果:74例患者均行中央区淋巴结清扫(Ⅵ区),其中32例阳性.32例中央区淋巴结阳性患者同期或分期行侧颈区淋巴结清扫(Ⅱ-Ⅴ区),其中19例阳性.中央区淋巴结转移与原发病灶大小、患者年龄无关,侧颈区淋巴结转移与原发病灶大小有关(χ2=5.96,P<0.05)、与患者年龄无关.当中央区淋巴结转移≥2枚时,侧颈区淋巴结转移率85.71%(χ2=4.61,P<0.05).结论:对cN0甲状腺乳头状癌建议行患侧腺叶和峡部切除加中央区淋巴结清扫术;对中央区淋巴结阳性(≥2枚)的患者可考虑行侧颈区清扫术.
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| 关 键 词： | 甲状腺癌 淋巴结转移 择区性颈清扫 |
Management of cN0 papillary thyroid carcinoma |
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| SUN Jian-guang,HU Hao-zhong,DAI Ya-wei,TAO Guo-wei,ZHANG Yun. Management of cN0 papillary thyroid carcinoma[J]. China Oncology, 2011, 21(4). DOI: 10.3969/j.issn.1007-3969.2011.04.012 |
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| Authors: | SUN Jian-guang HU Hao-zhong DAI Ya-wei TAO Guo-wei ZHANG Yun |
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| Affiliation: | SUN Jian-guang,HU Hao-zhong,DAI Ya-wei,TAO Guo-wei,ZHANG Yun(Department of General Surgery,People's Hospital of Haiyan,Haiyan Zhejiang 314300,China) |
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| Abstract: | Background and purpose:It is controversial to conduct cervical lymph node clearance for patients with clinically N0 papillary thyroid carcinoma.How and when lymph node clearance should be conducted is also not yet determined.This study evaluated the value of selective neck dissection for cN0 patients with papillary thyroid carcinoma(PTC).Methods:Between January 1,1999 and December 31,2006,we retrospectively studied 74 cN0 patients with identifi ed PTC who underwent ipsilateral thyroid lobectomy and selectiv... |
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| Keywords: | Thyroid carcinoma Lymph node metastases Selective neck dissection |
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