[Update on diagnosis and treatment of lateral cervical lymph node metastasis in papillary thyroid carcinoma]

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Apr 7;58(4):398-402. doi: 10.3760/cma.j.cn115330-20221018-00617.
[Article in Chinese]

Abstract

甲状腺癌是头颈部最常见的恶性肿瘤,近年来发病率迅速增长,甲状腺乳头状癌是其中最常见的类型,其临床特点是极易发生淋巴结转移(lymph node metastasis,LNM),且与术后复发及预后密切相关,手术是处理侧颈LNM的首选治疗方案,精准的术前评估和个体化的手术方案是手术成功的基础。超声检查、细针穿刺、CT检查是目前术前评估侧颈LNM与否和范围的常用措施。然而,目前侧颈淋巴清扫的具体范围仍存在很大争议,如何在进行最大限度地减少肿瘤残留或复发的同时降低手术带来的不必要的创伤是下一步研究的关键,以免因过度手术和手术不足导致的无效医疗。.

MeSH terms

  • Humans
  • Lymph Nodes / pathology
  • Lymphatic Metastasis / pathology
  • Neck Dissection
  • Neck* / pathology
  • Retrospective Studies
  • Thyroid Cancer, Papillary / diagnosis
  • Thyroid Cancer, Papillary / pathology
  • Thyroid Cancer, Papillary / therapy
  • Thyroid Neoplasms* / diagnosis
  • Thyroid Neoplasms* / pathology
  • Thyroid Neoplasms* / therapy
  • Thyroidectomy