Petkov R, Katev N, Todorov G, Mladenovski V, Yaramov N, Sokolov M
Department of Surgery, Medical University of Sofia University Hospital "Alexandrovska", Sofia.
Khirurgiia (Sofiia). 2011(1):5-11.
The papillary cancer and the follicular cancer are the most common forms of thyroid malignitet. Based on 30-year follow up of 430 patients, who underwent differentiated thyroid cancer surgery, the incidence of the lymph nodes metastases and the rate of postoperative recurrence of the disease was studied and the performance criteria of modified radical lymph node dissection of the neck were specified. Papillary cancer patients were 77.2% (332 people) and follicular cancer patients were 22.8% (98%). At the time of the diagnosis 8.2% (35 people) of the patients had palpable lymph nodes metastases. All patients with lymph nodes metastases, which developed after the surgery, underwent successful treatment with a modified lymph node dissection of the neck. In none of the cases the lymph node metastases led to a fatal outcome.
乳头状癌和滤泡状癌是甲状腺恶性肿瘤最常见的形式。基于对430例接受分化型甲状腺癌手术患者的30年随访，研究了淋巴结转移发生率和疾病术后复发率，并明确了改良根治性颈淋巴结清扫术的执行标准。乳头状癌患者占77.2%（332人），滤泡状癌患者占22.8%（98人）。诊断时，8.2%（35人）的患者可触及淋巴结转移。所有术后出现淋巴结转移的患者均通过改良颈淋巴结清扫术成功治疗。无一例淋巴结转移导致致命后果。
