[甲状腺髓样癌颈部淋巴结转移模式及未治疗患者的外科治疗]
[The patterns of cervical lymph node metastasis and the surgical treatment for untreated medullary thyroid carcinoma].
作者信息
Jin L S
机构信息
Department of Head and Neck Surgery, Tumar Hospital of Shanxi Province, 030013, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Oct 5;32(19):1504-1506. doi: 10.13201/j.issn.1001-1781.2018.19.016.
To study the features of cervical lymph node metastasis and the optimal type of surgical treatment for untreated medullary thyroid carcinoma. To retrospectively analyze the clinical data of 45 patients with untreated medullary thyroid carcinoma who received surgical treatment in our hospital. The patterns of cervical lymph node metastasis and the surgical treatment were investigated. 34(75.6%) cases were confirmed with lymph node metastasis. Among them,18(40.0%) cases were confirmed with central lymph node metastasis; 30(66.7%) cases with lateral lymph node metastasis; 2(4.4%) cases with bilateral lateral lymph node metastasis; 24(53.3%) cases with occult lymph node metastasis. Total thyroidectomy, central and bilateral neck dissection should be recommended for medullary thyroid carcinoma.
研究未治疗的甲状腺髓样癌颈部淋巴结转移特征及最佳手术治疗方式。回顾性分析我院45例接受手术治疗的未治疗甲状腺髓样癌患者的临床资料。调查颈部淋巴结转移模式及手术治疗情况。34例（75.6%）确诊有淋巴结转移。其中，18例（40.0%）确诊有中央区淋巴结转移；30例（66.7%）有侧方淋巴结转移；2例（4.4%）有双侧侧方淋巴结转移；24例（53.3%）有隐匿性淋巴结转移。对于甲状腺髓样癌，建议行全甲状腺切除术、中央区及双侧颈淋巴结清扫术。
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