颈中央区淋巴结数目及分布的临床解剖学研究

doi:10.13418/j.issn.1001-165x.2017.02.005

Abstract

Abstract:

Objective　To study the quantification and distribution of lymph nodes in central neck compartment(CNC).　Methods　The data of 304 patients who had papillary thyroid cancer that underwent unilateral/bilateral central neck dissection (CND) from June 2013 to June 2016 were analyzed. The fresh CNC specimen was separated into four sublevel (prelaryngeal region, pretracheal region, left paratracheal region, right paratracheal region), and underwent pathologic examination, respectively. The number of lymph nodes was counted.　Results　The lymph nodes yielded in CND were as follows: bilateral CCN: (9.86±3.36)(4~20)； left CCN: (6.24±2.23)(2~14)； right CCN: (7.77±2.79) (2~15). The lymph node distribution of CND was as follows: precricoid region: (1.29±0.75) (0~4); pretracheal region: (2.62±1.26)(0~7); left paratracheal region: (2.38±1.34)(0~6); right paratracheal region: (3.97±1.97)(0~10). The ratio of the four region was 12.69%，24.47%，24.15%，and 38.47%, respectively. The lymph node distribution of the right paratracheal region was as follows: lateral region of the right recurrent laryngeal nerve: (1.35±1.27) (0~6); medial region of the right recurrent laryngeal nerve: (2.64±1.75)(0~9). Conclusion Our study was the first one to report the quantification and distribution of lymph nodes in the central neck compartment in China, which can provide anatomic basis for surgeon during central neck dissection.

Key words: Central neck compartment, Lymph node, Anatomy, Thyroid cancer, Central neck dissection

ZHANG Hua, LIANG Xiao-yan, WANG Ming-hua, WANG Geng. Quantification and distribution of lymph nodes in the central neck compartment: clinical anatomic study[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(2): 144-146.

References

[1] American Thyroid Association Surgery Working Group, American Association of Endocrine Surgeons, American Academy of Otolaryngology-Head and Neck Surgery, et al. Consensus statement on the terminology and classi?cation of central neck dissection for thyroid cancer[J].Thyroid， 2009，19(11):1153-1158.
[2] Chen W, Zheng R, Zeng H, et al. The incidence and mortality of major cancers in china, 2012［J］. Chin J Can，2016，35(1)：73-77.
[3] American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper DS, Doherty GM, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer[J].Thyroid，2009，19(11):1167-1214.
[4] 中国解剖学会体质调查委员会.中国人解剖学数值［M］.北京：人民卫生出版社，2002:352-355.
[5] Hagiwara A, Takahashi T, Sawai K, et al. Lymph nodal vital staining with newer carbon particle suspensions compared with India ink: experimental and clinical observations[J]. Lymphology, 1992, 25(2):84-89.
[6] 中国医师协会外科医师分会甲状腺外科医师委员会.甲状腺手术中甲状旁腺保护专家共识[J].中国实用外科杂志, 2015,35（7）：731-736 .[7] 王玉林, 王辉, 巴颖. 纳米碳示踪在甲状腺癌淋巴结清扫术中的应用研究[J]. 医学与哲学, 2016,37(1B)：38-40.
[8] 张华, 王明华, 王耕. 纳米碳悬浮液在CN0甲状腺乳头状癌单侧中央区淋巴结清扫术中的应用[J]. 现代肿瘤医学, 2017, 25(1)：38-41.
[9] 宋温韬, 张乃嵩, 王天笑, 等. 纳米碳在甲状腺乳头状癌中央区淋巴结清扫中的应用[J]. 中国普通外科杂志, 2016,25(11)：1563-1566.
[10]Pereira JA, Jimeno J, Miquel J, et al. Nodal yield,morbidity,and recurrence after centralneckdissection for papillary thyroid arcinoma[J].Surgery，2005，138(6):1095-1100.
[11] Tavares MR, Cruz JA, Waisberg DR, et al. Lymph node distribution in the central compartment of the neck:an anatomic study[J]. Head Neck , 2014, 36(10):1425-1430.
[12] Giugliano G, Proh M, Gibelli B, et al. Central neck dissection in differentiated thyroid cancer:technical notes[J]. Acta Otorhinolaryngol Ital,2014,34(1):9-14.
[13]Deutschmann MW, Chin-Lenn L, Au J, et al. Extent of central neck dissection among thyroid cancer surgeons: cross-sectional analysis[J]. Head Neck, 2016,38 (Suppl 1):E328-332.
[14] Ofo E, Thavaraj S, Cope D, et al. Quantification of lymph nodes in the central compartment of the neck: a cadaveric study[J]. Eur Arch Otorhinolaryngol, 2016,273(9)：2773-2778.
[15]Lang BH, Yih PC, Shek TW, et al. Factor affecting the adequacy of lymph node yield in prophylactic unilateral central neck dissection for papillary thyroid carcinoma[J]. J Surg Oncol， 2012，106(8):966-971.
[16]El Khatib Z, Lamblin J, Aubert S, et al. Is thymectomy worthwhile in central lymph node dissection for differentiated thyroid cancer[J]. World J Surg, 2010,34(6):1181-1186.

Quantification and distribution of lymph nodes in the central neck compartment: clinical anatomic study

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