Ranganath Rohit, Dhillon Vaninder K, Shaear Mohammad, Rooper Lisa, Russell Jonathon O, Tufano Ralph P
Department of General Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Division of Head and Neck Endocrine Surgery, Department of Otolaryngology - Head and Neck Surgery, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA.
World J Otorhinolaryngol Head Neck Surg. 2020 Jun 16;6(3):176-181. doi: 10.1016/j.wjorl.2020.01.011. eCollection 2020 Sep.
Lymph node metastasis is common in differentiated thyroid cancer especially papillary thyroid cancer. Presence of lymph node metastasis does not have an impact on survival in younger patients. Therapeutic central and lateral neck dissection in the presence of clinically or radiologically evident lymph nodes has resulted in good overall survival. However, disease persistence in the lymph node/early recurrences may be seen in patients owing to lymph nodes that may be missed during the initial neck dissection. These observed locations are retropharyngeal and parapharyngeal nodal location, retro carotid location, sublingual, axillary, and intraparotid locations, supraclavicular and superficial to the sternothyroid muscle. We aim to highlight these locations with the goal to minimize persistence or early recurrence of disease at these locations.
淋巴结转移在分化型甲状腺癌尤其是乳头状甲状腺癌中很常见。淋巴结转移的存在对年轻患者的生存率没有影响。对于临床或影像学上有明显淋巴结的患者，进行治疗性中央区和侧颈部清扫术可带来良好的总体生存率。然而，由于在初次颈部清扫术中可能遗漏的淋巴结，患者可能会出现淋巴结疾病持续存在/早期复发的情况。这些观察到的部位包括咽后和咽旁淋巴结部位、颈动脉后部位、舌下、腋窝和腮腺内部位、锁骨上以及胸骨甲状肌浅面。我们旨在强调这些部位，以尽量减少这些部位疾病的持续存在或早期复发。
