Predictive value of ultrasonic characteristics in metastasis of lymph node posterior to right recurrent laryngeal nerve of papillary thyroid carcinoma

CHENG Fang; OU Di; XU Dong

doi:10.16245/j.cnki.issn1008-6978.2020.11.006

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Predictive value of ultrasonic characteristics in metastasis of lymph node posterior to right recurrent laryngeal nerve of papillary thyroid carcinoma

更新时间：2023-10-09

- Predictive value of ultrasonic characteristics in metastasis of lymph node posterior to right recurrent laryngeal nerve of papillary thyroid carcinoma
- Journal of Clinical Ultrasound in Medicine Vol. 22, Issue 11, Pages: 816-819(2020)
- 作者机构：
  
  中国科学院肿瘤与基础医学研究所中国科学院大学附属肿瘤医院浙江省肿瘤医院超声科
- 作者简介：
- 基金信息：
- DOI：10.16245/j.cnki.issn1008-6978.2020.11.006
  CLC： R736.1;R445.1
- Published：2020，
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[1]程芳,欧笛,徐栋.甲状腺乳头状癌超声图像特征预测右侧喉返神经后方淋巴结转移的价值[J].临床超声医学杂志,2020,22(11):816-819.

CHENG Fang, OU Di, XU Dong. Predictive value of ultrasonic characteristics in metastasis of lymph node posterior to right recurrent laryngeal nerve of papillary thyroid carcinoma. [J]. Journal of Clinical Ultrasound in Medicine 22(11):816-819(2020)
[1]程芳,欧笛,徐栋.甲状腺乳头状癌超声图像特征预测右侧喉返神经后方淋巴结转移的价值[J].临床超声医学杂志,2020,22(11):816-819. DOI： 10.16245/j.cnki.issn1008-6978.2020.11.006.

CHENG Fang, OU Di, XU Dong. Predictive value of ultrasonic characteristics in metastasis of lymph node posterior to right recurrent laryngeal nerve of papillary thyroid carcinoma. [J]. Journal of Clinical Ultrasound in Medicine 22(11):816-819(2020) DOI： 10.16245/j.cnki.issn1008-6978.2020.11.006.

摘要

目的分析甲状腺乳头状癌（PTC）的超声图像特征与右侧喉返神经后方淋巴结（LN-prRLN）转移的关系

探讨超声检查对PTC患者LN-prRLN转移的预测价值。方法选取我院行甲状腺右叶或双叶切除+右侧LN-prRLN清扫术的PTC患者135例

其中LN-prRLN转移患者29例（LN-prRLN转移组）

无LN-prRLN转移患者106例（无LN-prRLN转移组）

分析两组临床和超声图像特征。应用多因素Logistic回归分析PTC患者临床和超声图像特征与LN-prRLN转移的关系。结果 LN-prRLN转移组与无LN-prRLN转移组在年龄<45岁、肿瘤最大径<1 cm、包膜受累、超声显示右侧颈部第Ⅵ组肿大淋巴结、BRAFV600E基因突变及右侧颈侧区淋巴结转移等方面比较差异均有统计学意义（均P<0.05）。多因素Logistic回归分析显示超声显示右侧颈部第Ⅵ组肿大淋巴结、右侧颈侧区淋巴结转移与LN-prRLN转移相关（OR=5.916、6.571

均P=0.001）。结论超声检查可预测PTC患者LN-prRLN转移情况

其中右侧颈部第Ⅵ组肿大淋巴结或右侧颈侧区淋巴结转移对预测LN-prRLN转移有一定临床价值。

Abstract

ObjectiveTo analyze the relationship between the ultrasonic characteristics of papillary thyroidcarcinoma（PTC）and the metastasis of lymph node posterior to right recurrent laryngeal nerve（LN-pr RLN）

and to explore thepredictive value of ultrasound in LN-pr RLN metastasis in PTC patients.MethodsA total of 135 patients with PTC whounderwent right thyroid or bilobe resection and right LN-pr RLN dissection in our hospital were included in this study

including 29 patients with LN-pr RLN metastasis（LN-pr RLN metastasis group）

and 106 patients without LN-pr RLN metastasis（No LN-pr RLN metastasis group）. The characteristics of clinical and ultrasound image between the two groups were analyzed.Multivariable Logistic regression analysis was used to analyze the relationship between the characteristics of clinical andultrasonic in PTC patients and LN-pr RLN metastasis.ResultsThere were significant differences in age<45 years

tumordiameter<1 cm

capsule involvement

enlarged lymph nodes in group Ⅵ of the right neck showed by ultrasound

BRAFV600 Egenemutation

and lymph node metastasis in the right side between LN-pr RLN metastasis group and No LN-pr RLN metastasis group（all P<0.05）. Multivariable Logistic regression analyses indicated that the ultrasound results of the metastasis of enlarged lymphnodes in group Ⅵ of right neck and the lymph nodes in the right neck were related to the LN-pr RLN metastasis（OR=5.916

6.571

both P=0.001）.ConclusionUltrasonography can predict LN-pr RLN metastasis in patients with PTC

and the metastasisof enlarged lymph nodes in group Ⅵ of right neck or lymph nodes in the right side cervical area has a certain predictive value forLN-pr RLN metastasis.

关键词

超声检查甲状腺癌右侧喉返神经后方淋巴结

Keywords

UltrasonographyPapillary thyroid carcinomaLymph nodes posterior to right recurrent laryngeal nerve

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