CAJ | 학술논문

目的探讨利用Ⅵ区淋巴结转移状态预测颈部淋巴结阴性(cN0期)甲状腺乳头状癌侧颈淋巴结转移的可行性.方法回顾性分析2003年1月至201 1年10月接受同侧预防性颈部淋巴结清扫(Ⅱ～Ⅴ区或Ⅱ～Ⅳ区)的73例cN0期甲状腺乳头状癌患者的临床资料,分析Ⅵ区淋巴结转移与侧颈淋巴结转移的相关性.结果 73例cN0期甲状腺乳头状癌患者中,侧颈淋巴结转移率为16.4％(12n3),Ⅵ区淋巴结转移率为42.5％(31/73),多因素分析显示Ⅵ区淋巴结转移是影响cN0期甲状腺乳头状癌侧颈淋巴结转移的独立危险因素(OR=7.3,P=0.020).结论 Ⅵ区淋巴结转移状态用于预测cN0期甲状腺乳头状癌侧颈淋巴结转移是可行的.
목적 탐토이용Ⅵ구림파결전이상태예측경부림파결음성(cN0기)갑상선유두상암측경림파결전이적가행성.방법 회고성분석2003년1월지201 1년10월접수동측예방성경부림파결청소(Ⅱ～Ⅴ구혹Ⅱ～Ⅳ구)적73례cN0기갑상선유두상암환자적림상자료,분석Ⅵ구림파결전이여측경림파결전이적상관성.결과 73례cN0기갑상선유두상암환자중,측경림파결전이솔위16.4％(12n3),Ⅵ구림파결전이솔위42.5％(31/73),다인소분석현시Ⅵ구림파결전이시영향cN0기갑상선유두상암측경림파결전이적독립위험인소(OR=7.3,P=0.020).결론 Ⅵ구림파결전이상태용우예측cN0기갑상선유두상암측경림파결전이시가행적.
Objective To evaluate if Ⅵ region lymph nodes metastasis status can be a reliable indicator in prediction of lateral lymph nodes metastasis in papillary thyroid carcinoma (PTC) with negative cervical lymph nodes (cN0).Methods Retrospectively reviewed the medical records from January 2003 to October 2011 of 73 patients with PTC who underwent prophylactic lateral neck dissection (Ⅱ-Ⅴ region or Ⅱ-Ⅳ region).The relationship between cervical lymph nodes metastasis and lateral lymph nodes metastasis was assessed.Results The rate of lateral lymph nodes metastasis was 16.4％(12/73).The rate of Ⅵ region lymph nodes metastasis was 42.5％(31/73).Multivariate analysis showed that Ⅵ region lymph nodes metastasis was the risk factor of lateral lymph nodes metastasis in cN0 patients with PTC(OR =7.3,P=0.020).Conclusion Ⅵ region lymph nodes metastasis status can be a reliable indicator of lateral lymph nodes metastasis in cN0 patients with PTC.