【摘要】：目的探討臨床、超聲、細(xì)胞病理學(xué)特征對(duì)甲狀腺微小乳頭狀癌(PTMC)中央?yún)^(qū)淋巴結(jié)轉(zhuǎn)移(CLNM)的預(yù)測(cè)價(jià)值。方法收集110例經(jīng)術(shù)后組織病理證實(shí)為PTMC并行中央?yún)^(qū)淋巴結(jié)清掃的病例,回顧性分析PTMC組織病理學(xué)特征,及術(shù)前臨床、超聲、細(xì)胞病理學(xué)特征與CLNM的相關(guān)性。結(jié)果納入的110例PTMC病例中,共31例(28.2%)出現(xiàn)CLNM。PTMC的病理特征中,病灶5mm、多灶性、多側(cè)性、甲狀腺包膜侵犯、側(cè)區(qū)淋巴結(jié)轉(zhuǎn)移與CLNM顯著相關(guān)(P0.05)。術(shù)前特征中,患者年齡≤38歲、超聲測(cè)量可疑病灶6mm、可疑多灶性、多側(cè)性及可疑淋巴結(jié)轉(zhuǎn)移或包膜侵犯等為CLNM的危險(xiǎn)因素(P0.05)。結(jié)論術(shù)前通過(guò)分析可疑PTMC患者臨床、超聲資料,對(duì)CLNM具有一定預(yù)測(cè)價(jià)值。
[Abstract]:Objective to investigate the predictive value of clinical, ultrasound and cytopathological features in central lymph node metastasis (CLNM) of thyroid micropapillary carcinoma (PTMC). Methods the histopathological features of PTMC with central lymph node dissection were retrospectively analyzed in 110 patients with PTMC confirmed by histopathology, and the correlation between preoperative clinical, ultrasound, cytopathological features and CLNM was analyzed retrospectively. Results among the 110 cases of PTMC, 31 (28.2%) had the pathological features of CLNM.PTMC. The lesions were 5mm, multi-focus, multi-lateral, thyroid capsule invasion, and lymph node metastasis were significantly correlated with CLNM (P0.05). The risk factors of CLNM were age 鈮，

本文編號(hào)：2125145