摘要
目的:探讨预防性颈中央区淋巴结清扫在c N0分化型甲状腺癌(DTC)分期与复发危险度分层中的意义。方法:对2014年3月—7月收治的95例c N0 DTC行甲状腺切除及预防性中央区淋巴结清扫患者的临床病理资料行回顾性分析。结果:95例患者预防性中央区淋巴结清扫术后,43例见颈中央区淋巴结转移(45.3%),其中10例(10.5%)肿瘤TNM分期上移,分别为I期→III期8例,II期→III期2例;39例(41.1%)复发危险度提高。结论:预防性颈中央区淋巴结清扫能提高c N0 DCT患者TNM分期和复发危险度分层的准确性,从而有助于术后治疗方案的确定。
Objective：To evaluate the significance of prophylactic central lymph node dissection in determining the tumor stage and risk stratiifcation of recurrence for c N0 dif erentiated thyroid carcinoma（DTC）.Methods：The clinicopathologoic data of 95 patients with c N0 DTC admitted from March to July 2014 undergoing thyroidectomy with prophylactic central lymph node dissection were retrospectively analyzed.Results：Among the 95 patients who underwent prophylactic central lymph node dissection,central cervical lymph node metastases was found in 43 cases（45.3%）,and of them,TNM stage was increased in 10 cases（10.5%）（I to IIIstage in 8 cases,and II to III stage in 2）,and risk stratiifcation of recurrence was elevated in 39 cases（41.1%）.Conclusion：Prophylactic central lymph node dissection can improve the accuracy of classification of TNM stage and risk stratification of recurrence in patients with cN 0 DTC,and thereby be helpful in postoperative treatment planning.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2015年第5期633-637,共5页
China Journal of General Surgery
基金
广东省科学技术厅科技计划资助项目(2011B031800387)
