Application of multifunctional reservation in cervical lymphadenectomy of thyroid carcinoma

doi:10.3877/cma.j.issn.1674-0793.2010.06.003

Abstract

Abstract:

Objective

To discuss the feasibility and significance of multifunctional reserved cervical lymphadenectomy in thyroid carcinoma.

Methods

Sixty-five cases of multifunctional reserved cervical lymphadenectomy of region II to VI in thyroid carcinoma were analyzed from April 2006 to December 2009 retrospectively, four of them were bilateral cervical lymphadenectomy, including 54 cases of papillary thyroid carcinoma, 3 cases of follicular thyroid carcinoma and 4 cases of medullary thyroid carcinoma.

Results

Reservation of great auricular nerve were 60 cases, lesser occipital nerve were 56 cases, supraclavicular tegmentary nerve were 58 cases. Follow-up investigation from half to four years after operation manifested 1 case recurred in the 18th month, 1 case recurred in the third year, no recurrence appeared in 59 cases, sensory function in auricular region recovered well during 3 months after operation in all cases, no insensible feeling occurred in cervical and shoulder, no changes of cervical appearance appeared after surgery.

Conclusions

multifunctional reserved cervical lymphadenectomy can both cure the tumor radically and reserve the feeling in auricular region, cervical and supraclavicular region,which improve the quality of patients living.

Key words: Cervical lymphadenectomy, Thyroid carcinoma, Multifunctional reservation

Xian-ying MENG, Qiang ZHANG, Jia LIU, Jiang REN, Guang CHEN. Application of multifunctional reservation in cervical lymphadenectomy of thyroid carcinoma[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(06): 518-520.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2010.06.003

https://zhptwkxwx.cma-cmc.com.cn/EN/Y2010/V04/I06/518

1	殷德涛,王庆兆. 分化型甲状腺癌的治疗. 中国普通外科杂志, 2007, 16(1): 7-9.
2	李振东,董慧蕾,李树春. 分化型甲状腺癌Ⅵ区和Ⅱ-Ⅴ区颈淋巴结转移. 中华耳鼻喉头颈外科杂志, 2007, 42(12): 915-918.
3	Ashok RS. Complications of neck dissection for thyroid cancer. Ann Surg Oncol, 2008, 15(2): 397-399.
4	Palazzo FF,Gosnell J,Savio R, et al. Lymphadenectomy for papillary thyroid cancer: changes in practice over four decades. Eur J Surg Oncol, 2006, 32(3): 340-344.
5	Caron NR,Tan YY,Ogilivie JB, et al. Selective modified radical neck dissection for papillary thyroid cancer is level Ⅰ, Ⅱan d dissection always necessary. World J Surg, 2006, 30(5): 833-840.
6	Ahmedin J,Rebecca S,Elizabeth W, et al. Cancer statistics. CA Cancer J Clin, 2008, 58(2): 73-76.

[1]	Guo Sun, Yingdong Xie, Chaoli Xu, Bin Yang. Clinical value of a nomogram based on ultrasonic and clinical features for predicting central and lateral cervical lymph node metastases of thyroid papillary carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(07): 734-742.
[2]	Sujuan Li, Wenbo Ding, Xinping Wu, Xuedong Deng. Ultrasound-related risk factors for cervical lymph node metastasis of papillary thyroid microcarcinoma with extracapsular invasion [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(04): 455-461.
[3]	Qiyang Chen, Yujiang Liu, Jinping Liu, Xiaoqu Tan, Linxue Qian, Xiangdong Hu. Diagnostic value of a predictive model based on contrast-enhanced ultrasound for prediction of central cervical lymph node metastasis in patients with thyroid papillary carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(04): 442-448.
[4]	Tingting Cui, Yanyu Li, Qian Wang, Xiaofeng Fu, Gonglin Fan, Li Gao, Lei Xie, Deguang Zhang, Jiang Zhu. Thyroglobulin assessment in needle washout after fine needle aspiration for diagnosis of cervical lymph metastasis of thyroid papillary carcinoma: threshold and efficacy [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(02): 219-226.
[5]	Ying Wei, Zhenlong Zhao, Lili Peng, Yan Li, Naicong Lu, Jie Wu, Ming'an Yu. Value of combined lymphatic and intravenous contrast-enhanced ultrasound in diagnosis of cervical lymph node metastasis from papillary thyroid carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(08): 761-766.
[6]	Shanshan Zhao, Caiye Ma, Jintang Zhang. Value of ACR TI-RADS classification and serum indicators in risk management of medullary thyroid carcinoma of different sizes [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(04): 325-330.
[7]	Mengqi Luan, Shujun Xia, Lin Lin, Guiping Zhang, Weiwei Zhan. BRAF^V600E mutation abundance determined based on ultrasound-guided fine needle aspiration samples for predicting lymph node metastasis in papillary thyroid cancer [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(09): 828-833.
[8]	Meiwu Zhang, Shuyi Lyu, Xiaoxiang Fan, Luhui Zhuang, Yuqin Qiu, Yan Zhang. Risk factors for cervical lymph node metastasis of papillary thyroid microcarcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(06): 570-577.
[9]	Xiaofeng Ni, Weiwei Zhan, Wei Zhou, Juan Liu. Sonographic and clinical features of follicular variant papillary thyroid carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(04): 386-390.
[10]	Xin Liu, Qiaodan Zhu, Junping Liu, Dong Xu, Pintong Huang. Ultrasound characteristics of medullary thyroid carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(03): 266-271.
[11]	Ling Zhao, Lei Shang, Anliu He, Haina Zhao, Buyun Ma. Value of ultrasonography in diagnosis and differential diagnosis of primary thyroid lymphoma and anaplastic thyroid carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(01): 17-24.
[12]	Weiheng Guo, Luying Gao, Xiaoyi Li, Chunhao Liu, Ruifeng Liu, Xinlong Shi, Yu Xia, Yuxin Jiang. Risk factors for contralateral central lymph node metastasis in unilateral cN0 papillary thyroid carcinoma [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(11): 1131-1136.
[13]	Yijun Fan, Feng Yang, Wei Wang, Heying Yin, Jun Liu. Research progress in the diagnostic and therapeutic value of Delphian lymph node metastasis in papillary thyroid carcinoma [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(04): 306-310.
[14]	Yonghao Li, Xuefei Gao, Tiantian Guo, Jin Zhang, Jing Liu. Current status of surgical approaches for papillary thyroid carcinoma of the isthmus [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(03): 225-230.
[15]	Chenjie Zhou, Xuelin Mo, Weiwei Han. Effects of saikosaponin D on the biological behavior of papillary thyroid carcinoma TPC-1 [J]. Chinese Journal of Cell and Stem Cell(Electronic Edition), 2022, 12(04): 200-205.

Please choose a citation manager

Content to export