Application of central region cervical lymph nodes dissection in papillary thyroid microcarcinoma with clinically node-negative sides of neck stage
10.3760/cma.j.issn.1673-4904.2014.02.002
- VernacularTitle:中央区淋巴结清扫术在临床颈侧淋巴结阴性甲状腺乳头状微小癌中的应用研究
- Author:
Lei ZHU
- Publication Type:Journal Article
- Keywords:
Neck dissection;
Papillary thyroid microcarcinoma;
Clinically node-negative sides of neck stage
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(2):4-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the application value of central region cervical lymph nodes dissection in papillary thyroid microcarcinoma (PTMC) with clinically node-negative sides of neck stage.Methods Clinical data of 72 PTMC patients with clinically node-negative sides of neck stage were collected,and they were underwent total thyroidectomy,isthmic portion excision and contralateral lobus glandularis excision and neck dissection.A long term follow-up was made.Results Twenty-four patients were found central region cervical lymph nodes metastasis while other 48 patients were not found central region cervical lymph nodes metastasis.Followed up for 1.5-4.5 (3.4 ± 1.1) years,4 patients were found recurrent laryngeal nerve paralysis and recovered within 4 months.Four patients were found central region cervical lymph nodes metastasis after operation the 3rd years.Conclusions There is a tendency for PTMC patients with clinically node-negative sides of neck stage to occur central region cervical lymph nodes metastasis,it's necessary to perform prophylactic central region dissection.It can decrease the complications and improve the prognosis.
