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《Chinese Journal of Control of Endemic Diseases》 2012-06
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Study on the necessity of neck dissection for papillary thyroid microcarcinoma

YU Jie,LIU Zhuo,SUN Yao Department of General Surgery,The Second Clinic Medical Hospital,Jilin University,Changchun 130041,China  
Objective To evaluate the necessity of neck dissection for papillary thyroid microcarcinoma.Methods The clinicopathologic data of 69 patients with papillary thyroid microcarcinoma treated in our hospital from May 1999 to October 2009 were analyzed.Of the patients,42 cases were unifocal and 27 cases were multifocal.All patients underwent thyroidectomy and central compartment(levelⅥ)and ipsilateral or bilateral deep lymph nodes(levels Ⅲ and Ⅳ)dissection.Results In patients of unifocal and multifocal tumor,the metastasis of central compartment lymph nodes was found in 2(4.8%)and 7(25.9%)cases,and of deep lymph nodes was in 0(0)and 3(11.1%)cases,respectively.The metastasis rates of central compartment and deep lymph nodes were both significantly different between patients with unifocal and multifocal tumor(both P0.05).Four cases of temporary hypocalcemia,three cases of temporary recurrent laryngeal nerve paralysis and one case of lymphatic fistula occurred postoperatively.Recurrence occurred in one unifocal case 42 months later and one multifocal case 7 months later.No death occurred during the follow-up period of all patients.Conclusions Neck dissection should be aggressively performed in patients with multifocal papillary thyroid microcarcinoma.However,prophylactic neck dissection is not necessary for unifocal cases under regularly follow-up care,because that has no influence on the survival rate but can improve quality of life.
【CateGory Index】: R736.1
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【Citations】
Chinese Journal Full-text Database 3 Hits
1 LIU Qinjiang,TIAN Youxin,MA Shihong (Department of Head and Neck Surgery,The Cancer Hospital of Gansu Province,Lanzhou 730050,China);The clinical value of lymph node micrometastases in central lymph node group in follicular carcinoma of thyroid[J];中国普通外科杂志;2009-05
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【Co-citations】
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1 SUN Ronghua;PAN Xianjun;SU Xinliang;Lü Qingjian;WU Kainan;Department of General Surgery,Fuling Center Hospital of Chongqing City;Department of Breast Surgery,Chongqing Cancer Hospital;Department of Endocrinology and Breast Surgery,the First Affiliated Hospital of Chongqing Medical University;;Characteristics related to lymph node metastasis and strategy of lymph node dissection in papillary thyroid carcinoma[J];中国癌症杂志;2016-01
2 ZHAO Peng;DONG Zheng;DONG Xude;ZHANG Yawei;JIANG Weidong;Department of General Surgery, the Second Affiliated Hospital, Jilin University;;Clinical diagnosis and treatment of thyroid microcarcinoma: a report of 28 cases[J];中国普通外科杂志;2015-11
3 Chen Guangyu;Chen Zhilong;Tian Yongbo;Affiliated Hospital of Beihua University;;Clinical Significance of Lymph Node Dissection in Central Paraesophageal Region in Treatment of Thyroid Papillary Carcinoma[J];北华大学学报(自然科学版);2015-04
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6 LIU Tao;HAN Xi-lin;MA Xiang-dong;Department of Tumor Surgery,Central Hospital of Xuzhou;;Surgical methods of Hashimoto's disease complicated with thyroid microcarcinoma[J];中国现代医学杂志;2013-25
7 WEI Zhi-cheng;WANG Chun-xi;WANG Lu-ning;ZHANG Na;ZHANG Wei-wei;Chinese PLA General Hospital;Science and Education Office, Department of Medical Administration, Shanxi Armed Police Corps Hospital;;Role of ultrasonography in clinical diagnosis of lymphatic metastasis of papillary thyroid carcinoma in regions Ⅲ, Ⅳand Ⅵ[J];解放军医学院学报;2014-01
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