研究评估在乳头甲状腺癌的节点分布的模式
Sunil Kumar Samdhani1, Naresh Kumar Paliwal2, Mahendra Singh Hada1
1Department of ENT, SMS Medical College and Hospital, Jaipur, Rajasthan India.
概括
乳头甲状腺癌 (PTC) 经常转移到部中枢淋巴结 (VI级). 侧部部转移发生在后期阶段,这表明选择性部剖析对于先进的PTC.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 内分泌学 在内分泌学.
背景情况:
- 乳头甲状腺癌 (PTC) 是最常见的甲状腺癌类型.
- 淋巴转移是PTC的常见特征,通常涉及部淋巴结的可预测模式.
研究的目的:
- 在患有乳头甲状腺癌的患者中,评估淋巴结分布在不同部水平的模式.
- 评估PTC中临床病理因素和结节转移之间的相关性.
主要方法:
- 一项观察前性研究包括41名被诊断为乳头甲状腺癌的患者.
- 患者接受了全甲状腺切除术和中央部剖析;侧部剖析进行了T3/T4阶段或N1疾病.
- 评估了临床病理因素,包括年龄,性别,瘤阶段,结节转移和外入侵.
主要成果:
- 在51.2%的患者中观察到淋巴结转移,所有病例都涉及中央 (VI级) 淋巴结.
- 在II级发生了28.57%,在III级发生了47.62%,在IV级发生了38.10%,在V级发生了23.81%.
- 在24.4%的患者中存在外囊入侵.
结论:
- 乳头甲状腺癌在部中枢淋巴结的转移率很高 (VI级).
- 侧淋巴结转移在晚期 (T3/T4) 较为常见,并且可能无法通过临床检查或超声波检测到.
- 对于特定的患者群体,应考虑与全甲状腺切除术和中央部剖析一起进行ipsilateral选择性部剖析.
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