2010•Xinjiang Yike Daxue xuebaoRequires access
Application of central lymph node dissection to surgical operation for papillary thyroid carcinoma
Binlin Ma
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Abstract
Objective To explore a suitable method to dissect cervical lymph nodes for stage cN0 papillary thyroid carcinoma(PTC)patients.Methods Sixty stage cN0PTC patients,diagnosed by B ultrasound or cervical CT from the year 2007～2009,were randomly divided into two groups.Thyroidectomy and central lymph node dissection were performed in Group Ⅰ,while thyroidectomy,central lymph node dissection and cervical dissection was performed is Group Ⅱ.Each group contained 30 patients.Both groups took enough thyroxin tablets after operation.Results An average of 36.7% positive lymph nodes were found in Group Ⅰ.The lymph node cervical dissection metastas rate was 25.0%.Conlusion Thyroid ectomy plus central lymph node dissection is recommended for the treatment of stage cN0PTC.It can also avoid damage of thyroid area by reoperations.