中央区淋巴结清扫在cN0甲状腺乳头状癌手术中的价值

目的探讨中央区淋巴结清扫术对cN0甲状腺乳头状癌手术的临床意义。方法对106例cN0甲状腺乳头状癌行原发灶根治性切除,同时行患侧中央区淋巴结清扫术,清扫标本常规送病理检查。结果中央区淋巴结阳性率47.2%。原发灶侵犯包膜、癌灶〉1cm者及年龄在45岁及45岁以上者阳性率更高,分别为62.7%,57.4%和69.6%。106例均无喉返神经损伤、永久性低钙抽搐等并发症发生。结论cN0甲状腺乳头状癌行中央区淋巴结清扫术是必要的、安全的、可行的处理方式。

The value of central compartment neck dissection for cNO papollary thyroid carcinoma

Objective To evaluate the significance of the central compartment neck dissection for cN0 papillary thyroid carcinoma.Methods The clinical data of 106 cases with cN0 papillary thyroid carcinoma in our hospital from Jan,2005 to April,2006 were studied.The central compartmentlymph node dissection was routinely performed during cN0 papillary thyroid carcinoma operation and the specimens were sent for routine histopathological examination.Results The lymph node metastasis incidence is 47.2% in 106 cN0 cases.In patients with invaded thyroid envelope,tumor mass diameter more than 1cm and age of 45 or more than 45 years,the lymph node metastasis incidence was 62.7%,57.4%,69.6%.There were no such complications as laryngeal nerves injury and hypocalcemic tetany.Conclusions It is necessary,safe and operational to perform central compartment neck dissection during cN0 papillary thyroid carcinoma operation.