[甲状腺乳头状癌手术中前哨淋巴结的管理]
[Management of the sentinel lymph node of papillary thyroid carcinoma in surgery].
作者信息
Wang Jiadong, Deng Xingcheng, Jin Xiaojie, Zhang Chun, Zhou Jiaqing, Zhou Qinyi, Liu Jun, Qian Minfei
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Renji Hospital of Shanghai Jiaotong University, Shanghai 200001, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Jun;21(12):543-4, 547.
OBJECTIVE
To investigate the value of sentinel lymph node of papillary thyroid carcinoma exploring and measuring in the metastasis of the cervical lymph node of thyroid carcinoma.
METHOD
The sentinel lymph node were investigated by injecting the methylene blue around 25 cases of thyroid tumors. The lymph nodes dyed in blue and obtained from selective lymph node dissection were examined by pathology, respectively. The value of the sentinel lymph nod were evaluated.
RESULT
The sentinel lymph nodes dyed in blue were identified in 22 cases which account for 88.0% of all the 25 cases. Nineteen cases of the sentinel lymph node were positive by pathology, of whom 13 cases were verified positive in other area. Six cases were negative.
CONCLUSION
It is of great value that sentinel lymph node of thyroid carcinoma can indicate the metastasis of the cervical lymph node of thyroid carcinoma.
目的
探讨甲状腺乳头状癌前哨淋巴结探测及检测在甲状腺癌颈部淋巴结转移中的价值。
方法
对25例甲状腺肿瘤患者在其周围注射亚甲蓝以探测前哨淋巴结。分别对染成蓝色的淋巴结及选择性淋巴结清扫获取的淋巴结进行病理检查，评估前哨淋巴结的价值。
结果
25例患者中，22例（占88.0%）发现染成蓝色的前哨淋巴结。19例前哨淋巴结病理检查呈阳性，其中13例在其他区域被证实为阳性，6例为阴性。
结论
甲状腺癌前哨淋巴结对提示甲状腺癌颈部淋巴结转移具有重要价值。
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