Mizrachi Aviram, Shaha Ashok R
Memorial Sloan-Kettering Cancer Center, Head and Neck Service, New York, USA, Phone: +90 347-449-3137, E-mail:
Mol Imaging Radionucl Ther. 2017 Feb 9;26(Suppl 1):10-15. doi: 10.4274/2017.26.suppl.02.
Lymph node metastases in differentiated thyroid cancer (DTC) have a wide spectrum of clinical significance. Several variables are taken under consideration when trying to decide on the optimal management of patients with DTC. Routine prophylactic central and/or lateral lymph node dissection is not advocated with exception of central neck dissection for locally advanced tumors. When regarding recurrent disease, foundations have been laid for clinicians to make accurate decisions as to when to perform surgery and when to continue maintaining the patient's disease under observation. These complex decisions are determined based upon multiple factors, not only regarding the patient's disease but also the patient's comprehension of the procedure and apprehension levels. Nevertheless if the patient and/or clinician are emotionally keen to surgically remove the disease then the procedure should be considered.
分化型甲状腺癌（DTC）中的淋巴结转移具有广泛的临床意义。在试图决定DTC患者的最佳治疗方案时，会考虑多个变量。除了对局部晚期肿瘤进行中央区淋巴结清扫外，不主张进行常规预防性中央区和/或侧方淋巴结清扫。对于复发性疾病，已经为临床医生奠定了基础，以便他们能准确决定何时进行手术以及何时继续对患者的疾病进行观察。这些复杂的决定是基于多种因素做出的，不仅涉及患者的疾病情况，还包括患者对手术的理解和担忧程度。然而，如果患者和/或临床医生在情感上渴望通过手术切除疾病，那么就应该考虑进行该手术。
