Tumor location-dependent skip lateral cervical lymph node metastasis in papillary thyroid cancer

被引：99

作者：

Lee, Yoon Se ^{[1
,2
,3
]}

Shin, Sung-Chan ^{[1
,2
]}

Lim, Yun-Sung ^{[1
,2
]}

Lee, Jin-Choon ^{[1
,2
]}

Wang, Soo-Geun ^{[1
,2
]}

Son, Seok-Man ^{[2
,4
]}

Kim, In-Ju ^{[2
,4
]}

Lee, Byung-Joo ^{[1
,2
]}

机构：

[1] Pusan Natl Univ, Sch Med, Dept Otorhinolaryngol Head & Neck Surg, Pusan, South Korea

[2] Med Res Inst, Pusan, South Korea

[3] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Otolaryngol, Seoul, South Korea

[4] Pusan Natl Univ, Sch Med, Dept Internal Med, Pusan, South Korea

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2014年 / 36卷 / 06期

关键词：

papillary thyroid carcinoma; lymphatic metastasis; skip; neck dissection; univariate analysis; RADICAL-NECK-DISSECTION; OPTIMAL STRATEGY; CARCINOMA; PATTERN; RECURRENCE; CT;

D O I：

10.1002/hed.23391

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundLateral cervical lymph node metastasis without central lymph node (CLN) metastasis is not infrequent in papillary thyroid cancer (PTC). This study was designed to investigate the frequency and pattern of skip metastasis in PTC. MethodsWe reviewed 131 patients who underwent total thyroidectomy with CLN dissection and selective lymph node dissection. Tumor location was classified in 3 areas (upper, middle, and lower third) based on preoperative ultrasonographic findings. ResultsAll skip metastases occurred in patients whose tumors had been on the upper part of the thyroid (p<.001). Among 9 patients with skip metastasis, level III lymph nodes (66.7%) were the lymph nodes that were most frequently involved in skip metastasis. ConclusionPrimary tumors in the upper portion of the thyroid are closely linked to skip metastasis. Careful preoperative evaluation of lateral cervical lymph nodes is suggested when a tumor is in the upper portion. (c) 2013 Wiley Periodicals, Inc. Head Neck 36: 887-891, 2014

引用

页码：887 / 891

页数：5

共 34 条

[1] Diagnostic accuracy of CT and ultrasonography for evaluating metastatic cervical lymph nodes in patients with thyroid cancer [J].