The clinical significance of the Delphian lymph node metastasis in papillary thyroid carcinoma
-
Abstract: Thyroid cancer is one of the commonest head and neck cancer.According to the recent research,VI lymph nodes(also called the front area,including thyrocricoid lymph nodes,tracheal surrounding lymph nodes,thyroid surrounding lymph node,recurrent laryngeal nerve lymph nodes,retropharyngeal lymph nodes)is the most common site of involvement in the differentiated thyroid carcinoma.Thyrocricoid lymph nodes known as the Delphian lymph node(DLN)is located between the thyroid cartilage and the cricoid cartilage.The DLN is one of the most accurate predictor.This paper reviewed the clinical significance of the DLN,the role of DLN metastasis in papillary thyroid cancer,and the relationship between tumor size,multicentricity and DLN metastasis.We also discussed the association between DLN metastasis and additional central compartment metastasis,as well aslateral compartment metastasis.
-
Key words:
- thyroid neoplasms /
- Delphian lymph nodes /
- metastasis
-
-
[1] MACKENZIE E J,MORTIMER R H.Thyroid nodules and thyroid cancer[J].Med J Aust,2004,180:242-247.
[2] NIX P,NICOLAIDES A,COATESWORTH A P.Thyroid cancer review 1:presentation and investigation of thyroid cancer[J].Int J Clin Pract,2005,59:1340-1344.
[3] 高庆军,王南鹏,周彦,等.甲状腺乳头状癌颈部淋巴结转移规律及影响因素分析[J].中国普外基础与临床杂志,2013,20(3):303-309.
[4] OH E M,CHUNG Y S,LEE Y D.Clinical significance of Delphian lymph node metastasis in papillary thyroid carcinoma[J].World J Surg,2013,37:2594-2599.
[5] 袁玉刚.颈部淋巴结隐匿性转移的评估及处理[J].口腔颌面外科杂志,1999,9(4):317-319.
[6] TUNG-PING POON R,FAN S T,WONG J.Risk factors,prevention,and management of postoperative recurrence after resection of hepatocellular carcinoma[J].Ann Surg,2000,232:10-24.
[7] 张广,张纯海,付言涛,等.甲状腺炎合并甲状腺癌颈淋巴结转移情况及相关因素探讨[J].中国普外基础与临床杂志,2011,18(6):625-628.
[8] 石岚,黄韬.甲状腺乳头状癌淋巴结转移规律的研究[J].中华普通外科杂志,2007,22(7):524-526.
[9] 姜军,李世超.分化型甲状腺癌淋巴结转移特点及颈侧方淋巴结清扫术局部应用解剖[J].中国实用外科杂志,2011,31(5):380-383.
[10] 张浩.重视甲状腺乳头状癌治疗中Ⅵ区淋巴结清扫术的临床价值[J].中国实用外科杂志,2011,31(5):391-394.
[11] ROH J L,KIM J M,PARK C I.Lateral cervical lymph node metastases from papillary thyroid carcinoma:pattern of nodal metastases and optimal strategy for neck dissection[J].Ann Surg Oncol,2008,15:1177-1182.
[12] ROTSTEIN L.The role of lymphadenectomy in the management of papillary carcinoma of the thyroid[J].J Surg Oncol,2009,99:186-188.
[13] RESTA L,MICHEAU C,CIMMINO A.Prognostic value of the prelaryngeal node in laryngeal and hypopharyngeal carcinoma[J].Tumori,1985,71:361-365.
[14] OLSEN K D,DESANTO L W,PEARSON B W.Positive Delphian lymph node:clinical significance in laryngeal cancer[J].Laryngoscope,1987,97:1033-1037.
[15] ISAACS J D,LUNDGREN C I,SIDHU S B,et al.The Delphian lymph node in thyroid cancer[J].Ann Surg,2008,247:477-482.
[16] THALER E R,MONTONE K,TUCKER J,et al.Delphian lymph node in laryngeal carcinoma:a whole organ study[J].Laryngoscope,1997,107:332-334.
[17] ISAACS J D,MCMULLEN T P,SIDHU S B,et al.Predictive value of the Delphian and level VI nodes in papillary thyroid cancer[J].ANZ J Surg,2010,80:834-838.
[18] IYER N G,KUMAR A,NIXON I,et al.Incidence and significance of Delphian node metastasis in papillary thyroid cancer[J].Ann Surg,2011,253:988-991.
[19] LEE Y C,SHIN S Y,KWON K H,et al.Incidence and clinical characteristics of prelaryngeal lymph node metastasis in papillary thyroid cancer[J].Eur ArchOtorhinolaryngol,2013,270:2547-2550.
[20] KIM W W,YANG S I,KIM J H,et al.Experience and analysis of Delphian lymph node metastasis in patients with papillary thyroidcarcinoma[J].World J Surg Oncol,2012,10:226-232.
[21] BAEK S K,JUNG K Y,KANG S M,et al.Clinical risk factors associ-ated with cervical lymph node recurrence in papillary thyroid carcinoma[J].Thyroid,2010,20:147-152.
[22] LEE Y C,SHIN S Y,KWON K H,et al.Incidence and clinical characteristics of prelaryngeal lymph node metastasis in papillary thyroid cancer[J].Eur Arch Otorhinolaryngol,2013,270:2547-2550.
[23] 刘永锋.加强分化型甲状腺癌的规范化治疗[J].中国普外基础与临床杂志,2009,16(5):341-343.
-
计量
- 文章访问数: 63
- PDF下载数: 61
- 施引文献: 0
下载: