摘要
[目的]探讨甲状腺乳头状癌颈淋巴结可能的转移途径,及气管旁淋巴结与颈外侧淋巴结转移的相关性。[方法]回顾分析54例资料完整的甲状腺乳头状癌的临床及病理资料,分析颈部各区淋巴结转移率,比较气管旁淋巴结转移与颈外侧区淋巴结转移的关系。[结果]颈深上(Ⅱ区)、颈深中(Ⅲ区)、颈深下(Ⅳ区)、副神经区(Ⅴ区)、气管旁(Ⅵ区)淋巴结转移率分别为25.9%、50.0%、59.3%、14.8%、70.4%,气管旁淋巴结转移者84.2%有颈外侧区淋巴结转移,气管旁淋巴结无转移者仅18.8%有颈外侧区淋巴结转移。[结论]气管旁是甲状腺乳头状癌颈淋巴结最常见转移部位,气管旁淋巴结转移与颈外侧区淋巴结转移有相关性。
To explore the cervical lymph node metastatic routes in patients with thyroid papillary carcinoma.Fifty-four cases with thyroid papillary carcinoma were retrospectively reviewed.The node metastatic rate in various regions was investigated.The relationship between paratracheal node metasta-sis(Level VI)and posterolateral node metastasis was studied.Positive node distribution in this series was as follows:upper internal jugular lymph nodes(LevelⅡ)25.9%;middle jugular nodes(LevelⅢ)50%;lower jugular nodes(LevelⅣ)59.3%;spinal accessory lymph nodes(LevelⅤ)14.8%;paratracheal nodes(Level VI)70.4%.Posterolateral positive node was found in84.2%of patients with positive Level VI nodes,while only in18.8%of patients with negative Level VI nodes.[Conclusion]Level VI is the most common re-gion of metastasis in thyroid papillary carcinoma.There is significant relationship between metastasis of Level VI and posterolateral nodes.
出处
《中国肿瘤》
CAS
2003年第9期534-535,共2页
China Cancer
关键词
甲状腺肿瘤
乳头状癌
淋巴转移
thyroid neoplasms
papillary,carcinoma
lymphatic metastasis
