摘要
目的探讨oN0甲状腺乳头状癌患者临床指标与中央区淋巴结转移的关系。方法回顾性分析166例eN0甲状腺乳头状癌患者的临床资料。结果〈45岁组患者中央区淋巴结转移率明显高于1〉45岁患者（39％比22％，P〈0．05）；直径≤0．5cm组中央区淋巴结转移率（14％，5／35）明显低于〉0．5cm患者（P〈0．05）；肿块位于上极的患者其中央区淋巴结转移率（25％，12／48）最低（P〈0．01）；肿块位于中极（45％，13／29）和下极（43％，31／72）的两组患者间在中央区淋巴结转移率上的差异无统计学意义（P〉0．05）。结论年龄〈45岁，肿块位于中极、下极或肿块直径〉0．5cm是eN0甲状腺乳头状癌患者发生中央区淋巴结转移的高危因素。
Objective To evaluate central compartment lymph node metastasis in cN0 papillary thyroid carcinoma（PTC） patients. Methods The clinical data of 166 cN0 PTC patients was retrospectively analyzed. Results The central compartment lymph node metastasis rate of age 〈 45 years group was higher than the group of age≥45 years（39% vs. 22% ,P 〈0. 05）. Tumor size 〉0. 5 em tends to metastasize more often than tumor size ≤0. 5 cm （P 〈 0. 05 ） ; there was significantly difference in central compartment lymph node metastasis rate between upper pole tumor （25%, 12/48 ） and middle （45%, 13/29 ）or lower pole （43% ,31/72）, P 〈 0. 01. Conclusions eN0 PTC patients with tumor located in middle pole or lower pole ,tumor size 〉 0. 5 cm or age 〈 45 years are at higher risks for central compartment lymph node metastasis.
出处
《中华普通外科杂志》
CSCD
北大核心
2012年第4期289-291,共3页
Chinese Journal of General Surgery
关键词
甲状腺肿瘤
癌
乳头状
淋巴转移
颈淋巴结清扫术
Thyroid neoplasms
Carcinoma, papillary
Lymphatic metastasis
Neck dissection
