择区性颈淋巴结清扫术在临床颈淋巴结阴性甲状腺癌患者
中的应用
李正江;安常明;鄢丹桂;张溪微;张宗敏;徐震纲;唐平章
【期刊名称】《中华肿瘤杂志》 【年(卷),期】2013(035)010
【摘要】Objective To investigate the significance of selective neck dissection in patients with cN0 thyroid carcinoma who have a high-risk of lateral neck lymph node metastasis.Methods Sixty three patients with cN0 thyroid carcinoma who have a high-risk of lateral neck lymph node metastasis were prospectively studied at the Department of Head and Neck Surgery,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College between August 2006 and June 2011.The patients with cN0 thyroid carcinoma easy to occur neck lymph node metastasis include:The maximum diameter of primary tumor is ≥ 2 cm; The primary tumor invaded the thyroid capsule; Lymph node metastasis in level Ⅵ is found; Lymph node enlargement in level Ⅲ or/and Ⅳ were detected preoperatively by ultrasonography,but not considered as metastasis.The surgical procedure is that the selective neck dissection in level Ⅲ and Ⅳ is performed depending on the collar incision of thyroid surgery.The lymph node chosen from the specimen has a frozen section.If lymph node metastasis is found in the frozen section,a functional neck dissection should be performed through
择区性颈淋巴结清扫术在临床颈淋巴结阴性甲状腺癌患者中的应用
