浙江医学2017，Vol.39Issue(10)：786-789,4.DOI:10.12056/j.issn.1006-2785.2017.39.10.2017-784
多灶性甲状腺微小乳头状癌数量及总直径对中央组淋巴结转移的预测价值
Association of tumor number and total tumor diameter with central lymph node metastasis in patients with multifocal papillary thyroid microcarcinoma
摘要
Abstract
Objective To investigate the association of tumor number and total tumor diameter with central lymph node metastasis (CLNM) in patients with multifocal papillary thyroid microcarcinoma (PTMC).Methods The clinical and pathological data of 157 patients with multifocal PTMC and 653 patients with solitary thyroid papillary carcinoma were analyzed retrospectively.The cases were grouped according to the number of tumors and the total diameter (TDD) or unifocal tumors diameter (UTD),the relations between positive CLNM and PTMC lesion number,the TDD was analyzed.Results There was significant difference in positive CLNM between solitary tumor group and the multifocal tumor group (P＜0.05).There was significant difference in positive CLNM between TTD ≤1.0cm group and UTD ≤ 1.0cm group (P＜0.05).There was no significant difference in positive CLNM between TTD ≤ 1.0cm group and TTD＞1.0cm group (P ＞0.05).Conclusion Central lymph node metastases are likely to occur in patients with multifocal TPMC and with larger total tumor diameter,indicating that for these patients more active dissection is necessary.关键词
甲状腺微小乳头状癌/多灶性/中央组淋巴结转移Key words
Papillary thyroid microcarcinoma/Multifocal/Central lymph node metastasis引用本文复制引用
潘钢,韩志江,张煜,丁金旺,彭友,张卧,罗定存..多灶性甲状腺微小乳头状癌数量及总直径对中央组淋巴结转移的预测价值[J].浙江医学,2017,39(10):786-789,4.基金项目
浙江省医药卫生科技计划项目(2016KYA155) （2016KYA155）
杭州市重大科技创新专项项目(20131813A08) （20131813A08）
