甲状腺癌颈部淋巴结的转移方式的临床研究

目的回顾性研究临床已诊断为甲状腺乳头状癌患者的颈部淋巴结区域的转移方式。方法本研究27例病例中,男12例,女15例。均经临床证实为颈部淋巴结转移,并行颈部淋巴结清扫。所有颈清扫标本,在术中被按照所在颈部分区,在术后标注后分别送检。结果病理检查证实:所有颈清标本中,颈部淋巴结转移数量平均为6.7枚,其中:VI区淋巴结转移数量最多(95%),其次依次为:Ⅲ区(68%),Ⅳ区(57%),Ⅱ区(54%)。结论甲状腺乳头状癌颈淋巴结转移高发于Ⅵ区和Ⅱ区,推荐的颈部淋巴结清扫方式为侧后颈和前侧颈部的淋巴结清扫,这种清扫方式与原发灶的大小和可触及的阳性淋巴结的数量有关。

Clinical Study on Metastasis of Thyroid Carcinoma in Cervical Lymph Node

Objective To discuss the metastasis way of thyroid papillary carcinoma who were diagnosed as in cervical lymph node retrospectively.Methods 27 cases of such patient were operated with resection of neck lymph node from June 2010-June 2011 and the nodes were detected as their location.Results The average lymph nodes were 6.7 among them most located at Ⅵ area(95%) and then Ⅲ(68%),IV(57%) and Ⅱ(54%) area.Conclusion The cervical lymph node metastasis was highly in Ⅵ and Ⅱ so that the nodes of these area should be resected.There was relationship between the palpable positive nodes and lesion size.