Iqbal Tahir, Zareen Muhammad, Iqbal Asif, Tahir Farah, Khan Samiullah, Ahmed Zahoor
Department of Surgery, KNG Hospital, Bannu, NWFP.
J Coll Physicians Surg Pak. 2009 Feb;19(2):104-7.
To determine the pattern of metastatic involvement of anterolateral cervical lymph nodes in papillary thyroid carcinoma.
Retrospective, descriptive study.
Department of Surgery, Khyber Teaching Hospital, Peshawar, from July 1998 to July 2005.
The clinical and pathological record of 38 patients who underwent neck surgery for cervical metastasis from papillary thyroid carcinoma was reviewed. Neck dissections were done and 85 lymph nodes were taken. Forty lymph nodes were histologically positive and were classified in 3 groups based on dissection procedure. The neck level (levels I-V) of the positive nodes of all the 3 groups was identified.
The mean age of patients was 32+2.5 years. The positive nodes in neck level III were the most involved followed by level II, IV, V and then I.
Modified neck dissection should be adopted for papillary thyroid carcinoma. Papillary thyroid carcinoma usually involves the neck level II, III and IV with the level III being the most frequently involved.
确定甲状腺乳头状癌颈前外侧淋巴结转移的模式。
回顾性描述性研究。
1998年7月至2005年7月，白沙瓦开伯尔教学医院外科。
回顾了38例因甲状腺乳头状癌颈部转移而接受颈部手术患者的临床和病理记录。进行了颈部清扫，共获取85个淋巴结。40个淋巴结组织学检查呈阳性，并根据清扫程序分为3组。确定了所有3组阳性淋巴结的颈部水平（I-V级）。
患者的平均年龄为32±2.5岁。III级颈部淋巴结受累最多，其次是II级、IV级、V级，然后是I级。
甲状腺乳头状癌应采用改良颈部清扫术。甲状腺乳头状癌通常累及颈部II级、III级和IV级，其中III级受累最为常见。
