中山大学学报（医学科学版）2017，Vol.38Issue(1)：85-88,4.
甲状腺乳头状癌淋巴结转移规律及影响因素分析
Metastasis Regulatory of Lymph Node of Papillary Thyroid Cancer and Influence Factors
摘要
Abstract
Objective]To explore the metastasis regulatory of lymph node of papillary thyroid cancer and to analyze the influence factors.[Methods]Clinical data of 375 papillary thyroid cancer patients at our hospital between Jun 2011 and Sep 2015 were retrospectively reviewed and summarized the metastasis regulatory of lymph nodes and the tumor characteristics.[Results]All selected patients were diagnosed papillary thyroid cancer. The Total metastasis rate of cervical lymph node was 67.47%,the metastasis rate of region Ⅵ lymph nodes was 64.27%;the metastasis rate of region Ⅱ~Ⅴ lymph nodes was 36.53%. The metastasis rate of lymph nodes of the patients with tumor diameter over 1 cm,breaking through thyroid membrane and invading the cervical muscle were significantly increased(P < 0.05).[Conclusion]The central group lymph nodes were the most metastasis region of papillary thyroid cancer and should routinely be dissected by the first time of surgery. When the tumor diameter greater than 1 cm or cancer breakthrough thyroid membrane and/or invading the cervical muscles ,the ipsilateral lateral neck lymph nodes should be dissected at the same time.关键词
甲状腺肿瘤/乳头状癌/淋巴结转移Key words
thyroid carcinoma/papillary thyroid cancer/lymphatic metastasis分类
医药卫生引用本文复制引用
张鹏,刘瑞磊,姚志成,林继宗,王庆亮,刘波,黄勇..甲状腺乳头状癌淋巴结转移规律及影响因素分析[J].中山大学学报（医学科学版）,2017,38(1):85-88,4.基金项目
广东省自然科学基金 （）
