【摘要】 目前,甲状腺癌发病率在世界范围内均呈明显上升趋势,尤其是乳头状癌。其发病率明显升高很可能是因为检出率的增加。提高其疗效和减少复发的关键因素是首次手术治疗的规范化。准确的术前分期、合适的甲状腺切除和淋巴结清扫范围都是甲状腺癌规范化治疗中尤其应该重视的问题。我们建议,对甲状腺单发、较小,没有外侵的癌灶行单侧腺叶切除术。对c N0病人常规进行同侧中央区(Ⅵ区)淋巴结清扫;不推荐行预防性颈侧区淋巴结清扫。更多还原

【Abstract】 There has been a worldwide increase in theincidence of thyroid carcinoma. The rapid increase in the rateof papillary thyroid carcinoma is likely caused by improvedsurveillance.To improve the therapeutic outcome andreducethe recurrence rate, the most effective way is tostandardizeinitial surgical management. Accurate staging,appropriate extent of thyroidectomy and lymph nodedissection, are the most notable issues.Thyroid lobectomyalone is sufficient treatment for small, unifocal, intrathyroidalcarcinomas.Routine ipsilateral level Ⅵ lymph nodedissectionin c N0 thyroid carcinoma can be carried outwith no increased morbidity and may decrease the need for furtheroperations.Prophylactic lateral neck dissection is generally notperformed for c N0 thyroid carcinoma.更多还原