中国现代医学杂志2016，Vol.26Issue(7)：108-111,4.DOI:10.3969/j.issn.1005-8982.2016.07.025
甲状腺癌颈部中央区淋巴结转移对侧区的影响
Value of cervical central lymph node metastasis of thyroid cancer in prediction of contralateral region lymph node metastasis
刘松平 1赵铭 2王连臣 1柯延壮1
作者信息
- 1. 海南省农垦三亚医院 普外科，海南 三亚 572000
- 2. 河南省肿瘤医院头颈外科，河南 郑州 450008
- 折叠
摘要
Abstract
Objective To investigate the effect of central neck lymph node metastasis of papillary thyroid carcinoma patients on lateral neck region lymph node metastasis. Methods Ninety cases with papillary thyroid cancer in our hospital from April 2012 to February 2015 were divided into metastasis group (65 cases) and non-metastasis group (25 cases) according to the central neck lymph node metastasis. According to the num_ber of cervical central metastatic lymph nodes, the metastasis group was further divided into 3 groups, i.e. group A ( =1, 27 cases), group B ( =2, 14 cases) and group C ( ≥3, 24 cases). The clinical data of metastasis group and non-metastasis group were compared. Lateral neck lymph node metastasis was recorded in the groups A, B and C. The sensitivity of central neck lymph node metastasis in prediction of lateral lymph node metastasis and the positive predictive value were calculated. Results The age, gender and metas_tasis rate of the patients in the metastasis group were significantly different from those of the non-metastasis group ( <0.05), and the metastasis rate of the lateral lymph nodes in the metastasis group was significantly higher than that in the non-metastasis group ( <0.05). In the 65 patients with central lymph node metasta_sis, 51 cases had lateral lymph node metastasis. The rate of lateral lymph node metastasis in the groups A. B and C was 51.85%, 71.43% and 83.33% respectively. The sensitivity of central neck lymph node metastasis in prediction of lateral lymph node metastasis was 96.08%, the positive predictive value was 75.38%. Conclusions In thyroid papillary carcinoma patients, the larger the number of central neck metastatic lymph node, the higher the risk of lateral neck lymph node metastasis. Operation of lateral lymph node dissection can be made according to central neck lymph node metastasis to prevent the lateral neck lymph node metastasis.关键词
甲状腺乳头状癌/中央区/淋巴结转移Key words
papillary thyroid carcinoma/central/lymph node metastasis分类
医药卫生引用本文复制引用
刘松平,赵铭,王连臣,柯延壮..甲状腺癌颈部中央区淋巴结转移对侧区的影响[J].中国现代医学杂志,2016,26(7):108-111,4.
