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目的：探讨甲状腺微小乳头状癌临床病理特征及其与颈部淋巴结转移的关系。方法：回顾2008年4月至2015年9月间我院收治的205例确诊为PTMC患者的病例资料，分析临床病理特点并复习相关文献。结果：205例PTMC患者中颈部淋巴结转移率20.0%，年龄≥45岁、汉族、肿瘤最大径≥0.5cm及肿瘤多发病灶与PTMC淋巴结转移有关，年龄≥45岁、汉族、肿瘤多发病灶是其独立的危险因素。结论：对于存在年龄≥45岁、汉族、肿瘤多灶性等淋巴结转移危险因素的患者，临床医生应采取不同的治疗策略和手术计划，以提高患者生存质量。“,”Objective To explore the papillary thyroid microcarcinoma(PTMC) clinical pathological features and its relationship with cervical lymph node metastasis.Methods We analyzed the clinicopathological features of patients with PTMC . A total of 205 patients with PTMC were enrolled at our hospital between April 2008 and September 2015 and related literatures were reviewed.Results Of them,cervical lymph node metastasis were present in 41 (20%) patients.patients who were 45 years old or older, the han nationality, tumor multiple lesions were the independent risk factors.Conclusion for whose age was 45 years old or older, the han nationality, multifocal tumor , clinical doctors should adopt different treatment strategy and operation plan, in order to improve the patients quality of life.