CAJ | 학술논문

目的探讨乳头状甲状腺微小癌颈部中央组(Ⅵ区)淋巴结的转移规律和影响因素.方法对2007年1月-2011年1月收治的215例乳头状甲状腺微小癌患者的临床资料进行回顾性分析.结果全组患者均接受了甲状腺双侧全切加双侧颈部中央组(Ⅵ区)淋巴结清扫术.中央组淋巴结转移的发生率为36.7％(79/215),影响淋巴结转移的因素包括:年龄(每增加1岁,其发生淋巴结转移的比例是原来的0.935倍)、性别(女性患者淋巴结转移的比例为男性的0.202倍)、病灶的数目和总直径.结论乳头状甲状腺微小癌可发生中央组淋巴结转移,当患者为年轻人或男性,癌肿呈多灶性或总直径超过0.5cm时转移发生率明显增加.
목적 탐토유두상갑상선미소암경부중앙조(Ⅵ구)림파결적전이규률화영향인소.방법 대2007년1월-2011년1월수치적215례유두상갑상선미소암환자적림상자료진행회고성분석.결과 전조환자균접수료갑상선쌍측전절가쌍측경부중앙조(Ⅵ구)림파결청소술.중앙조림파결전이적발생솔위36.7％(79/215),영향림파결전이적인소포괄:년령(매증가1세,기발생림파결전이적비례시원래적0.935배)、성별(녀성환자림파결전이적비례위남성적0.202배)、병조적수목화총직경.결론 유두상갑상선미소암가발생중앙조림파결전이,당환자위년경인혹남성,암종정다조성혹총직경초과0.5cm시전이발생솔명현증가.
Objective To study cervical central group (VI region) lymph node metastasis with papillary thyroid microcarcinoma and correlative influencing factors.Methods Clinical data of 215 papillary thyroid microcarcinoma patients undergoing surgery between Jan 2007 and Jan 2011 were analyzed retrospectively.Results All patients accepted bilateral thyroidectomy and bilateral cervical central group lymph node dissection.The total incidence of cervical central group lymph node metastasis was 36.7％ (79/215).Factors relating to cervical central group lymph node metastasis rate were:age (with one year elder,the likelyhood of lymph node metastasis was 0.935 times lesser),gender (the ratio of female to male was 0.202),the number of foci and the sum of the diameters of all lesions.Conclusions Patients with papillary thyroid microcarcinoma may suffer from lymph node metastasis of the cervical central group,and lymph node metastasis rate increases significantly in young or male patients,and when the lesions were multifocal or the sum of the tumor diameter ＞ 0.5 cm.