Chen Zheng, Dong Hanhua, Ye Zhen
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jan;29(2):120-2.
To discuss the role of the central lymph node dissection in the treatment of papillary thyroid carcinoma.
Collect 136 patients who underwent thyroidectomy with papillary thyroid carcinoma in our hospital in 2011-2012,all are conducted with lymph node dissection in the central area as well as resection of primary lesion. Functionl lateral neck lymph node dissection were used for patients with clinical lateral neck lymph node metastasis.
In 136 patients, 56. 6%(77/136) of the central lymph node metastasis were detected. Positive rate was 47. 5% in 101 cN0 patients and 82. 9% in 35 cN1 patients.
In the case of not increasing risk of surgery, resection of thyroid cancer primary lesion the central lymph node at the same time is a surgical procedure to be recommended.
探讨中央区淋巴结清扫术在甲状腺乳头状癌治疗中的作用。
收集我院2011年至2012年行甲状腺切除术的136例甲状腺乳头状癌患者，均行中央区淋巴结清扫及原发灶切除。对临床侧颈淋巴结转移患者行功能性侧颈淋巴结清扫。
136例患者中，中央区淋巴结转移率为56.6%（77/136）。101例cN0患者阳性率为47.5%，35例cN1患者阳性率为82.9%。
在不增加手术风险的情况下，同期切除甲状腺癌原发灶及中央区淋巴结是值得推荐的手术方式。
