Selective neck dissection in clinical node positive low risk papillary thyroid cancer patients
10.3760/cma.j.issn.1673-0860.2012.11.009
- VernacularTitle:侧颈临床淋巴结阳性的低危甲状腺乳头状癌择区性颈清扫术的改进
- Author:
Wen-Bin YU
1
;
Yun-Tao SONG
;
Jun-Yong SUN
;
Nai-Song ZHANG
Author Information
1. 100142,北京大学肿瘤医院暨北京市肿瘤防治研究所头颈外科恶性肿瘤发病机制及转化研究教育部重点实验室
- Keywords:
Thyroid neoplasms;
Carcinoma,papillary;
Neck dissection
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(11):918-921
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the improvement of modified radical neck dissection in clinical node positive(cN +) low risk papillary thyroid cancer patients.Methods Seventy-one cases of papillary thyroid cancer with cN+ underwent selective neck dissection (Ⅱ a,Ⅲ,Ⅳ) from 2007 to 2010 were reviewed,including 10 men and 61 women.All patients were at stage Ⅰ,including 15 T1,46 T2,10 T3.Twenty-six patients were found Positive nodes were found by palpation in 26 cases and by ultrasonagraphy in 45 cases.Results Cervical lymph node metastasis were confirmed pathologically in 63 cases,with metastatic rate of 88.7％;100％ in cN + cases by palpation and 82.2％ in cN + cases by ultrasonagraphy,respectively.Metastatic nodes existed in one level in 13 cases,two levels in 31 cases,and three levels in 19cases.Recurrence occurred to 4 patients during follow up,with a recurrent rate of 5.6％,and 2 cases of them were found recurrence in the anterior part of Ⅴ b,2 cases in the carotid sheath.Conclusion Selective neck dissection (Ⅱ a,Ⅲ,Ⅳ) is acceptable for cN + low risk papillary thyroid cancer patients,which can decrease complications in neck and shoulder greatly.
