国际肿瘤学杂志 ›› 2016, Vol. 43 ›› Issue (1): 42-44.doi: 10.3760/cma.j.issn.1673-422X.2016.01.012

• 综述 • 上一篇    下一篇

甲状腺微小乳头状癌中央区淋巴结转移的高危因素

李耀,王圣应   

  1. 230030 合肥,安徽省肿瘤医院头颈外科
  • 收稿日期:2015-05-22 出版日期:2016-01-08 发布日期:2015-12-03
  • 通讯作者: 王圣应 E-mail:wangshengying61@163.com

High risk factors related to central lymph node metastasis in papillary thyroid microcarcinoma

Li Yao, Wang Shengying   

  1. Department of Head and Neck Surgery, Anhui Provincial Cancer Hospital, Hefei 230030, China
  • Received:2015-05-22 Online:2016-01-08 Published:2015-12-03
  • Contact: Wang Shengying E-mail:wangshengying61@163.com

摘要: 近年来,大量研究发现甲状腺微小乳头状癌(PTMC)的中央区淋巴结转移与一些危险因素明显相关,如年龄≤45岁、BRAF基因突变、血管内皮生长因子C过度表达、癌灶直径≥5 mm、多发病灶及双侧病灶、病灶侵犯甲状腺包膜等。这些高危因素参与疾病的进程,并且相互影响。对高危因素的研究有助于预测患者发生中央区淋巴结转移的风险,从而有效地指导患者治疗。

关键词: 甲状腺肿瘤, 淋巴结, 危险因素

Abstract: In recent years, a large number of studies have found that central lymph node metastasis of the papillary thyroid microcarcinoma (PTMC) is significantly related with some risk factors. These high risk factors include age below 45 years old, BRAF gene mutation, vascular epithelial growth factorC high expression, tumor diameter≥5 mm, multifocal and bilateral tumor, thyroid capsule invasion and so on. These high risk factors involve in disease process, and interact with each other. The studies of the high risk factors can help us to predict the risk of central lymph node metastasis in the patients with PTMC, thus to effectively guide the patients′ treatment.

Key words: Thyroid neoplasms, Lymph nodes, Risk factors