摘要
目的探讨甲状腺微小乳头状癌中央区淋巴结转移的相关危险因素。方法回顾性分析219例甲状腺微小乳头状癌的临床病理资料。结果甲状腺微小乳头状癌中央区淋巴结转移阳性率为34.2%(75/219)。男性、年龄<45岁、肿瘤直径>0.5cm为中央区淋巴结转移的独立危险因素(P<0.05);而肿瘤数目与中央区淋巴结转移无明显相关。结论甲状腺微小乳头状癌中央区淋巴结转移阳性率较高,对于男性、年龄<45岁、肿瘤直径>0.5cm的患者应常规行中央区淋巴结清扫。
Objective To study the risk factors for central lymph node metastasis（CLNM）of papillary thyroid microcarcinoma（PTMC）.Methods The clinicopathological data of 219 patients with PTMC were retrospectively reviewed.Results Of 219 patients,75（34.2%）cases had positive CLNM.The univariate and multivariate analysis showed that male gender,age under 45 years old,and tumor diameter more than 5 mm,but not tumor multifocality,were the independent risk factors for CLNM.Conclusion The incidence rate of CLNM is higher.Cleaning dissection of the central lymph nodes should be performed routinely in PTMC patients of male gender,age under 45 years old,and tumor diameter more than 5mm.
出处
《江苏医药》
CAS
北大核心
2014年第21期2580-2582,共3页
Jiangsu Medical Journal
基金
江苏省卫生厅面上项目(H201203)
关键词
甲状腺肿瘤
乳头状微小癌
淋巴结转移
Thyroid tumor
Papillary microcarcinoma
Lymph node metastasis
