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Bilateral cervical lymph node metastases in well-differentiated thyroid cancer.

作者信息

Noguchi M, Kumaki T, Taniya T, Miyazaki I

机构信息

Operation Center, Kanazawa University Hospital, Japan.

出版信息

Arch Surg. 1990 Jun;125(6):804-6. doi: 10.1001/archsurg.1990.01410180130021.

DOI:10.1001/archsurg.1990.01410180130021
PMID:2346381
Abstract

We analyzed the regional lymph node metastases of 98 patients with thyroid cancer who underwent bilateral modified neck dissection. Bilateral jugular lymph node metastases were frequent in patients with papillary carcinoma of the thyroid, especially in those patients with obvious carcinoma in both lobes of the gland, cancer arising in the isthmus, clinically detectable bilateral lymphadenopathy, and recurrent thyroid cancer. In patients whose cancer was clinically confined to one lobe, and where there were no obviously enlarged contralateral lymph nodes, the occurrence of contralateral jugular lymph node metastasis was significantly correlated with the contralateral paratracheal lymph node metastasis. The bilateral lymphadenectomy appears to be appropriate in these instances.

摘要

相似文献

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