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淋巴结比对皮皮性甲状腺微癌中疾病复发的影响
M C de Jong1, M Mahipal1, K Y Ngiam1
1National University Hospital, Singapore.
Annals of the Royal College of Surgeons of England
|August 31, 2023
概括
淋巴结转移在乳头甲状腺微癌中很常见. 更高的淋巴结比率 (LNR) 可能会增加复发风险,因此需要进一步研究治疗和监测策略.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 内分泌手术 内分泌手术
背景情况:
- 淋巴结 (LN) 转移在乳头甲状腺小癌 (microPTCs) 中很常见.
- 淋巴结比率 (LNR) 是乳头甲状腺癌的潜在预后因素,但其在microPTC中的作用尚不清楚.
研究的目的:
- 为了研究淋巴结比率 (LNR) 在乳头甲状腺微癌 (microPTC) 的预后意义.
- 为了确定LNR是否影响微PTC患者的无复发存活率.
主要方法:
- 对50名经过LN清除的microPTC患者 (2005-2018) 的回顾性分析.
- 计算LNR (积极的LNs/总的LNs).
- 基于LNR和其他临床病理因素评估无复发生存率.
主要成果:
- 68%的患者有阳性LNs;28%的患者经历了中位数61个月的随访后的复发.
- 阳性LNs没有显著影响无复发生存率.
- 外节延伸和LNR≥0.26与复发风险增加有关 (未经调整的分析,p <0.05).
结论:
- 在microPTC中,LN转移很常见.
- 较高的LNR似乎与复发风险增加有关.
- 需要进一步的研究来澄清LNR在microPTC管理和监督中的作用.
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