Hanatake F, Hirose K, Katada S, Nishiura K, Takabatake I, Mori Y, Hayashi T, Yamada T, Kitagawa S, Nakagawa M
Dept. of General Surgery, Ishikawa Prefectural Central Hospital.
Gan No Rinsho. 1989 Nov;35(14):1623-6.
Forty-eight patients with a well-differentiated thyroid cancer that occupied unilateral lobe were given, a modified radical neck dissection (unilateral or bilateral). After an examination of their lymph nodes, a retrospective analysis showed that the metastasis extended to the lateral cervical lymph node on the ipsilateral neck in 43.8% of all cases, and to at least the paratracheal lymph node on the contralateral neck in 27.2% of all cases. Therefore a bilateral modified radical neck dissection is needed surgical treatment for such patients.
48例单侧叶受累的高分化甲状腺癌患者接受了改良根治性颈清扫术(单侧或双侧)。对其淋巴结进行检查后,回顾性分析显示,所有病例中43.8%的患者转移至同侧颈部的颈外侧淋巴结,27.2%的患者转移至对侧颈部至少气管旁淋巴结。因此,对于此类患者,手术治疗需要进行双侧改良根治性颈清扫术。