Analysis of lymph node metastasis factors in papillary thyroid microcarcinoma.
- Author:
Ya'nan XU
1
;
Jiadong WANG
Author Information
1. Department of Otolaryngology, Head and Neck Surgery, Renji Hospital of Shanghai Jiaotong University, 200001, China.
- Publication Type:Journal Article
- MeSH:
Adenocarcinoma, Papillary;
pathology;
surgery;
Adult;
Aged;
Female;
Humans;
Lymphatic Metastasis;
pathology;
Male;
Middle Aged;
Neck Dissection;
Retrospective Studies;
Thyroid Neoplasms;
pathology;
surgery;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2007;21(15):679-682
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the factors of lymph node metastasis in papillary thyroid microcarcinoma and to evaluate the significance of the selective neck dissection.
METHOD:Records of 82 patients with papillary thyroid microcarcinoma were retrospectively analyzed. Sixty patients were received a selective neck dissection (Group 1), while twenty-two were not (Group 2).
RESULT:In Group 1, 13 patients were found metastasis. The incidence of metastasis was 21. 67% (13/60). The frequency of nodal metastasis with a carcinoma < 0.7 cm was 4.76%, while > or = 0.7 cm was 30.77% (P < 0.05). All patients were followed-up from 9 to 14 years (mean 59.8 months). No patients relapsed or died, and no one was found distant metastasis.
CONCLUSION:The papillary thyroid microcarcinoma had a high tendency to metastasize. It is more significant to perform selective neck dissection in tumors > or = 0.7 cm.
