中国实用外科杂志

中国实用外科杂志

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分化型甲状腺癌区域淋巴结清扫策略及争议

李    茵，杨中元，李秋梨，王    曦，张    诠，郭朱明   

  1. 中山大学肿瘤防治中心头颈科，广东广州 510060
  • 出版日期:2015-06-01 发布日期:2015-05-29

  • Online:2015-06-01 Published:2015-05-29

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摘要：

甲状腺乳头状癌颈部淋巴结转移出现早，但预后好。甲状腺切除手术和彻底合理的淋巴结清扫是公认治疗甲状腺癌的最佳选择。cN1 病人需要行颈淋巴结清扫术，但cN0 病人是否需要进行预防性中央区或颈侧区淋巴结清扫术仍有很多的争议。

关键词: 分化型甲状腺癌, 颈淋巴结清扫术, 中央区淋巴结, 颈侧区淋巴结

Abstract:

Strategy and controversy of regional lymph node dissection applied to differentiated thyroid carcinoma                LI Yin，YANG Zhong-yuan， LI Qiu-li，et al. Department of Head and Neck Surgery，Sun Yat-sen University Cancer Center，Guangzhou 510060，China
Corresponding author：GUO Zhu-ming，E-mail：guozhm@sysucc.org.cn
Abstract    Papillary thyroid carcinoma (PTC) has excellent prognosis. But metastasis to the cervical lymph node usually occurs early. Thyroidectomy and reasonable lymph node dissection are regarded as the best choices for thyroid carcinoma treatment widely. Patients with cN1 require the lymph node dissection. But for patients with cN0, the need of prophylactic central lymph node dissection or prophylactic modified neck dissection remains controversial.

Key words: differentiated thyroid carcinoma, cervical lymph node dissection, central lymph node, lateral neck lymph node