CAJ | 학술논문

目的探讨甲状腺微小乳头状癌淋巴结转移规律及合理的手术方式.方法回顾性分析我院130例甲状腺微小乳头状癌患者的临床及病理资料.结果 130例均经病理证实,单侧108例,双侧22例,中央组淋巴结转移37例(28.5%),颈侧区淋巴结转移17例(13.1%).结论甲状腺微小乳头状癌具有多灶性特点,故初次手术应该行甲状腺全切或次全切除、中央组淋巴结清扫,并根据术前超声、其他影像学资料及术中探查情况行颈侧区淋巴结清扫.
목적 탐토갑상선미소유두상암림파결전이규률급합리적수술방식.방법 회고성분석아원130례갑상선미소유두상암환자적림상급병리자료.결과 130례균경병리증실,단측108례,쌍측22례,중앙조림파결전이37례(28.5%),경측구림파결전이17례(13.1%).결론 갑상선미소유두상암구유다조성특점,고초차수술응해행갑상선전절혹차전절제、중앙조림파결청소,병근거술전초성、기타영상학자료급술중탐사정황행경측구림파결청소.
Objective To evaluate the regularity of papillary thyroid microcarcinoma lymph node metastasis and rational surgical methods. Methods The clinical and pathological data of 130 cases of thyroid papillary microcarcinoma were retrospectively reviewed. Results Totally 130 cases were all confirmed by pathology, including 108 cases of unilateral lesions, 22 cases of bilateral lesions. 37 cases (28.5%) had central lymph node metastasis, 17 cases ( 13.1 ) % occurred lateral of neck lymphatic metastasis. Conclusions Papillary thyroid microcarcinoma is often multifocal, so the initial surgery should be thyroidectomy or subtotal resection and central lymph node dissection should be done, Wheather to perform the lateral neck lymph node dissection or not should be based on preoperative ultrasound and other imaging data and inrtaoperativcly exploration.