Clinical Study on Prelaryngeal Lymph Node Metastasis in Papillary Thyroid Carcinoma

Abstract

Jin-Xing Gong,1 Jian-Wei Gu,1 Feng Ji,1 Kun Li,1 Qi Zhu,1 Fang-Ying Gu,1 Yan Chen,1 Qing-Hai Ji2 1Department Four of Surgery, Kunshan Hospital of Traditional Chinese Medicine, Kunshan 215300, People’s Republic of China; 2Head & Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai 200000, People’s Republic of ChinaCorrespondence: Jian-Wei GuDepartment Four of Surgery, Kunshan Hospital of Traditional Chinese Medicine, No. 189 of Chaoyang Street, Yushan Town, Kunshan 215300, People’s Republic of ChinaTel [phone]-3698Email [email protected]: This study aims to investigate the risk factors of prelaryngeal lymph node metastasis in papillary thyroid carcinoma and its clinical application value.Methods: The clinical pathological features and metastatic risks were statistically analyzed by reviewing 254 patients with papillary thyroid carcinoma, who received their first operation and prelaryngeal lymph node dissection in our department.Results: The detection of prelaryngeal lymph nodes, tumor size and any paratracheal lymph node metastasis were correlated with the number of paratracheal lymph node metastasis (P< 0.05), but these were not correlated with age, gender, multiple foci, tumor size, any paratracheal lymph node metastasis, metastatic location, or foci location (P> 0.05).Conclusion: Paratracheal lymph node metastasis indicates a high possibility of prelaryngeal lymph node metastasis. Paratracheal lymph node dissection combined with prelaryngeal lymph node dissection should be simultaneously considered in operations for thyroid papilla carcinoma.Keywords: papillary thyroid cancer, delphian lymph node, lymph node metastasis, lymph node dissection, tumor

Keywords

• papillary thyroid cancer
• delphian lymph node
• lymph node metastasis
• lymph node dissection
• tumor