The application value of region Ⅵ lymph node dissection in the lateral neck lymph node-negative papillary thyroid microcarcinoma

VernacularTitle:Ⅵ区淋巴结清扫术在颈侧淋巴结阴性甲状腺乳头状微小癌中的应用价值
Author: Daguang LI
Publication Type:Journal Article
Keywords: Thyroid neoplasms; Lymph node excision; cN0 stage
From: Chinese Journal of Postgraduates of Medicine 2013;36(29):21-23
CountryChina
Language:Chinese
Abstract: Objective To analyze the application value of region Ⅵ lymph node dissection in the lateral neck lymph node-negative(cN0 stage)papillary thyroid microcarcinoma (PTMC).Methods The clinical data of 18 PTMC patients in cN0 stage were collected,and all 18 patients underwent total thyroidectomy,homolateral lobe andisthmus total thyroidectomy and contralateral lobenear total thyroidectomy.The region Ⅵ lymph node dissection was performed on all cases.A long term follow-up was made.Results Six patients were found region Ⅵ lymph node metastasis while other 12 cases no.The time of follow-up was 0.5-6.0(3.5 ± 1.2)years.One patient with temporary recurrent laryngeal nerve palsy returned to normal within 3 months by symptomatic treatment.One patient was found region Ⅵ lymph node metastasis after 3 years treatment and other patients showed no lymph node metastasis.Conclusions There is a tendency for PTMC to occur region Ⅵ lymph node metastasis,it's necessary to perform prophylactic region Ⅵ lymph node dissection.It could decrease the complications and improve the prognosis.