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甲状腺癌现已成为发病率上升最快的一种实体癌,其治疗方式多以手术为主。由于分化型甲状腺癌发生颈部淋巴结转移时往往最先转移到中央区,所以在手术中如何处理中央区淋巴结对分化型甲状腺癌的治疗效果及预后就显得尤为重要。然而,对于术前检查或术中探查未发现颈部淋巴结转移的单侧分化型甲状腺癌,是否需要常规行双侧中央区淋巴结清扫至今存在较大争议。本文就单侧分化型甲状腺癌手术中中央区淋巴结的处理方式进行综述。
Thyroid cancer has now become the most rapid incidence of a solid cancer, the treatment of more surgery-based. As the differentiation of thyroid cancer cervical lymph node metastasis is often the first to move to the central area, so how to deal with central lymph nodes in the treatment of differentiated thyroid cancer and prognosis is particularly important. However, it is controversial to date whether preoperative examination or intraoperative exploration of unilateral differentiated thyroid cancer without cervical lymph node metastasis requires routine bilateral bilateral central lymph node dissection. This article reviews the treatment of central lymph nodes in unilateral differentiated thyroid cancer surgery.