摘要
目的探讨甲状腺微小乳头状癌颈部中央区淋巴结转移与颈侧区淋巴结转移的关系。方法回顾性分析2019-01-01-2021-12-31于解放军第九六〇医院经手术确诊为甲状腺微小乳头状癌伴中央区淋巴结转移的447例患者的术后病理资料。患者均至少行一侧颈侧区淋巴结清除,分析患者中央区及颈侧区淋巴结转移情况。结果447例伴有中央区淋巴结转移的甲状腺微小乳头状癌患者中,颈侧区淋巴结转移率为37.58%(168/447)。颈部中央区淋巴结转移数目随中央区淋巴结清除数目的增加而增加,r=0.264,P<0.001。随着颈部中央区淋巴结转移数目的增多,颈侧区淋巴结转移率增加,r=0.772,P<0.001。当颈部中央区淋巴结转移数目≥5枚时,颈侧区淋巴结转移率>54%。结论甲状腺微小乳头状癌患者颈部中央区淋巴结转移与颈侧区淋巴结转移关系密切,颈侧区淋巴结转移率随中央区淋巴结转移数目的增加而增加。当颈部中央区淋巴结转移数目≥5枚时可考虑行颈侧区淋巴结清除术。
Objective To explore the relationship between lymph node metastasis in the central region of the neck and lymph node metastasis in the lateral region of papillary thyroid microcarcinoma.Methods The postoperative pathological data of 447 patients with papillary thyroid microcarcinoma with central lymph node metastasis confirmed surgically at the 960th Hospital of the People’s Liberation Army from January 1,2019 to December 31,2021 were analyzed retrospectively.All patients were performed at least one lateral cervical lymph node dissection,and the lymph node metastasis in the central and lateral cervical regions was analyzed.Results Among 447 cases of papillary thyroid microcarcinoma with central lymph node metastasis,the lymph node metastasis rate in the cervical region was 37.58%(168/447).The number of lymph node metastasis in the central region of the neck increased with the number of lymph node clearance in the central region,r=0.264,P<0.001.With the increase of the number of lymph node metastasis in the central region of the neck,the rate of lymph node metastasis in the lateral region of the neck increased,r=0.772,P<0.001.When the number of lymph node metastasis in the central region of the neck was≥5,the rate of lymph node metastasis in the lateral region of the neck was>54%.Conclusions There is a close relationship between central cervical lymph node metastasis and lateral cervical lymph node metastasis in patients with papillary thyroid microcarcinoma.The rate of cervical lateral lymph node metastasis increases with the increase of the number of central lymph node metastasis.When the number of lymph nodes in the central region of the neck is≥5,the lateral region of the neck can be considered for lymph node dissection.
作者
邵长秀
贺青卿
李小磊
周鹏
岳涛
庄大勇
SHAO Changxiu;HE Qingqing;LI Xiaolei;ZHOU Peng;YUE Tao;ZHUANG Dayong(Postgraduate Training Base of 960th Hospital of PLA Joint Logistics Support Force of Jinzhou Medical University,Jinan 250031,China;Department of Thyroid and Breast Surgery,The 960th Hospital of PLA Joint Logistics Support Force,Jinan 250031,China)
出处
《中华肿瘤防治杂志》
CAS
北大核心
2023年第5期282-286,共5页
Chinese Journal of Cancer Prevention and Treatment
关键词
甲状腺微小乳头状癌
中央区淋巴转移
侧区淋巴结转移
转移率
相关性分析
papillary thyroid microcarcinoma
central cervical lymph nodes metastasis
lateral cervical lymph nodes metastasis
transfer rate
correlation analysis
