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临床负面的II级宫淋巴结转移在乳腺甲状腺癌的危险因素
Dongju Kim1, Seunguk Bang2, Gwangju Yu2
1Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03083, Republic of Korea.
Journal of clinical medicine
|September 13, 2025
概括
在乳头甲状腺癌中隐藏的侧淋巴结转移是常见的. 转移的横向淋巴结的数量预测了II级参与,有助于选择性部剖析.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
背景情况:
- 乳头甲状腺癌 (PTC) 经常转移到宫淋巴结.
- 侧侧淋巴结的参与是PTC的关键预后因素.
- 由于患病风险,在PTC中常规的II级解剖被争论.
研究的目的:
- 在PTC中识别隐藏的II级淋巴结转移的临床病理预测因素.
- 引导选择性手术方法用于PTC患者的部侧面剖析.
主要方法:
- 对1247名接受甲状腺切除术的PTC患者 (2015-2022) 的回顾性分析.
- 包括67名临床上呈阳性侧节点但阴性II级节点的患者.
- 使用后勤回归来识别隐藏II级转移的风险因素.
主要成果:
- 24名 (35.8%) 患者有隐藏的II级转移.
- 隐性转移与较大的原发性瘤和更多的中央/侧侧淋巴结转移有关.
- 转移的横向淋巴结数量是唯一的独立预测因素 (OR=1.57,p=0.001).
结论:
- 有相当数量的PTC患者有隐藏的II级淋巴结转移.
- 转移的横侧淋巴结数量预测了隐秘的II级参与.
- 这些发现支持根据转移性淋巴结负担量身定制侧剖析.
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