CAJ | 학술논문

目的探讨分化型甲状腺癌(differentiated thyroid carcinoma,DTC)中央区淋巴结转移的特点,并明确DTC手术治疗中中央区淋巴结清扫的意义.方法回顾性分析2003年1月至2007年6月蚌埠医学院第一附属医院收治的均行含中央区淋巴结清扫的109例(122侧)颈淋巴结清扫术的DTC病理资料.根据术前体检和影像学检查结果分为临床淋巴结阳性(cN+)和阴性(cNO)2组,分别与术后病理结果比较.结果 122侧颈清扫标本中,Ⅵ区淋巴结转移率明显高于Ⅱ、Ⅲ及Ⅳ,P值均＜0.01,差异有统计学意义.中央区淋巴结阳性占65.6％ (80/122),其中cN+组阳性占81.2％ (56/69),cN0组占45.3％(24/53).结论 DTC中央区淋巴结转移常见,中央区淋巴结在DTC外科手术中应常规清扫.
목적 탐토분화형갑상선암(differentiated thyroid carcinoma,DTC)중앙구림파결전이적특점,병명학DTC수술치료중중앙구림파결청소적의의.방법 회고성분석2003년1월지2007년6월방부의학원제일부속의원수치적균행함중앙구림파결청소적109례(122측)경림파결청소술적DTC병리자료.근거술전체검화영상학검사결과분위림상림파결양성(cN+)화음성(cNO)2조,분별여술후병리결과비교.결과 122측경청소표본중,Ⅵ구림파결전이솔명현고우Ⅱ、Ⅲ급Ⅳ,P치균＜0.01,차이유통계학의의.중앙구림파결양성점65.6％ (80/122),기중cN+조양성점81.2％ (56/69),cN0조점45.3％(24/53).결론 DTC중앙구림파결전이상견,중앙구림파결재DTC외과수술중응상규청소.
Objective To explore the rule of central region lymph nodes metastasis in differentiated thyroid carcinoma (DTC) and the significance of central region lymph nodes neck dissection in surgical operation for DTC.Methods The clinical and pathological data of 122 lymph nodes in 109 patients (31 female and 78 male) with DTC undergoing neck lymph nodes ( central region lymph nodes included) dissection from Jan.2003 to Jun.2007 in our hospital were analyzed retrospectively.According to preoperative physical examination and imaging analysis,patients were divided into clinical cervical lymph nodes metastasis ( cN + ) group and clinical no cervical lymph nodes metastasis (cNO) group and compared respectively with their pathological data after surgery.Resuits Of the 122 lymph nodes,lymph node metastasis rate was significantly higher in region Ⅵ than in region Ⅱ,Ⅲ and Ⅳ.The difference had statistical significance (P ＜0.01 ).65.6％ (80/122) metastasis was in the central region.81.2％ (56/69) patients in cN + group and 45.3％ (24/53) patients in cN0 group had central region lymph nodes metastasis.Conclusions Central region lymph nodes metastasis is common for patients with DTC.Routine neck dissection in central region should be done in DTC operation.