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Clinical Study on Prelaryngeal Lymph Node Metastasis in Papillary Thyroid Carcinoma

Authors Gong JX, Gu JW, Ji F, Li K, Zhu Q, Gu FY, Chen Y, Ji QH

Received 29 September 2019

Accepted for publication 26 November 2019

Published 21 February 2020 Volume 2020:12 Pages 1323—1327

DOI https://doi.org/10.2147/CMAR.S232884

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Sanjeev Srivastava


Jin-Xing Gong,1 Jian-Wei Gu,1 Feng Ji,1 Kun Li,1 Qi Zhu,1 Fang-Ying Gu,1 Yan Chen,1 Qing-Hai Ji2

1Department Four of Surgery, Kunshan Hospital of Traditional Chinese Medicine, Kunshan 215300, People’s Republic of China; 2Head & Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai 200000, People’s Republic of China

Correspondence: Jian-Wei Gu
Department Four of Surgery, Kunshan Hospital of Traditional Chinese Medicine, No. 189 of Chaoyang Street, Yushan Town, Kunshan 215300, People’s Republic of China
Tel +86-051257310000-3698
Email jwgdr_999@163.com

Objective: This study aims to investigate the risk factors of prelaryngeal lymph node metastasis in papillary thyroid carcinoma and its clinical application value.
Methods: The clinical pathological features and metastatic risks were statistically analyzed by reviewing 254 patients with papillary thyroid carcinoma, who received their first operation and prelaryngeal lymph node dissection in our department.
Results: The detection of prelaryngeal lymph nodes, tumor size and any paratracheal lymph node metastasis were correlated with the number of paratracheal lymph node metastasis (P< 0.05), but these were not correlated with age, gender, multiple foci, tumor size, any paratracheal lymph node metastasis, metastatic location, or foci location (P> 0.05).
Conclusion: Paratracheal lymph node metastasis indicates a high possibility of prelaryngeal lymph node metastasis. Paratracheal lymph node dissection combined with prelaryngeal lymph node dissection should be simultaneously considered in operations for thyroid papilla carcinoma.

Keywords: papillary thyroid cancer, delphian lymph node, lymph node metastasis, lymph node dissection, tumor

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