HIGH RISK OF LATERAL NODAL METASTASIS IN LATERAL SOLITARY SOLID PAPILLARY THYROID CANCER

被引：7
作者：
Lai, Xing-Jian
Zhang, Bo
Jiang, Yu-Xin
Li, Jian-Chu
Zhao, Rui-Na
Yang, Xiao
Zhang, Qing
Zhang, Xiao-Yan
Li, Wen-Bo
Zhu, Shen-Ling
机构：
[1] Chinese Acad Med Sci, Dept Ultrasound, Beijing 100730, Peoples R China
[2] Peking Union Med Coll Hosp, Beijing, Peoples R China
来源：
ULTRASOUND IN MEDICINE AND BIOLOGY | 2016年 / 42卷 / 01期
基金：
中国国家自然科学基金;
关键词：
Papillary thyroid carcinoma; Cervical metastasis; Node metastatic pattern; Ultrasonography; LYMPH-NODES; PREDICTIVE FACTORS; NECK; CARCINOMA; MICROCARCINOMA; MACROCALCIFICATION; DISSECTION; NODULES; PATTERN;
D O I：
10.1016/j.ultrasmedbio.2015.09.006
中图分类号：
O42 [声学];
学科分类号：
070206 ; 082403 ;
摘要：
We explored the relationship between ultrasonic intra-thyroidal location and neck node metastasis pattern in solitary solid papillary thyroid cancer (PTC). Data on 186 patients were retrospectively reviewed. The association between several characteristics and neck node metastasis pattern were analyzed. Among the 186 thyroid nodules, age >= 45 y (p = 0.005), mass size >= 2 cm (p = 0.001), presence of calcifications (p < 0.001) and lateral nodal metastasis (p = 0.001) were significantly related to central nodal metastasis in multivariate analysis. Mass size >= 2 cm(p = 0.046) and central nodal metastasis (p = 0.002) were significantly related to lateral nodal metastasis in multivariate analysis. Location of an intra-thyroidal solitary solid PTC located non-adjacent to the trachea (lateral) was significantly related to lateral nodal metastasis (p = 0.043) compared with location of an intra-thyroidal solitary solid PTC adjacent to the trachea (medial or isthmus). Lateral lesions have a high risk of lateral nodal metastasis in solitary solid PTC. (C) 2016 Published by Elsevier Inc. on behalf of World Federation for Ultrasound in Medicine & Biology
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页码：75 / 81
页数：7
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