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目的探讨cN0期甲状腺微小乳头状癌常规行颈Ⅵ区淋巴结清扫的临床应用价值。方法对2008年1月～2011年5月收治的28例初诊的cN0期甲状腺微小乳头状癌行病灶根治性切除加同侧颈Ⅵ区淋巴结清扫的临床资料进行分析。结果颈Ⅵ区淋巴结阳性8例(占28.6%);并发症2例(占7.1%),其中喉返神经暂时性损伤1例,暂时性甲状旁腺损伤1例,经治疗后均恢复正常。结论 cN0期甲状腺微小乳头状癌颈Ⅵ区淋巴结转移率较高,常规行颈Ⅵ区淋巴结清扫是必要的且并发症发生率较低。
Objective To investigate the clinical value of conventional cervical lymph node dissection in cN0 stage thyroid papillary carcinoma. Methods From January 2008 to May 2011, 28 cases of newly diagnosed cN0 thyroid papillary carcinoma of the lesion were treated by radical resection plus ipsilateral neck Ⅵ regional lymph node dissection clinical data were analyzed. Results There were 8 cases (28.6%) of lymph nodes in neck Ⅵ, 2 cases (7.1%) of complications, 1 case of temporary injury of recurrent laryngeal nerve and 1 case of transient parathyroid injury. All cases returned to normal after treatment. Conclusions The rate of lymph node metastasis in cervical Ⅵ of cN0 thyroid papillary carcinoma is high. It is necessary to perform cervical Ⅵ lymph node dissection routinely and the complication rate is low.