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| The Significance on the Patients with cN0 Papillary Thyroid Cancer for the First time Routine Prophylactic Central Lymph Node Dissection |
| WU Danping |
| The First People's Hospital of Changshu, Jiangsu Changshu 215500, China |
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Abstract Objective: To investigate cN0 papillary thyroid cancer patients for the first time in the treatment of routineprophylactic central lymph node dissection significance. Methods: From 2009 May to 2015 February in our hospital, 72 cases of patients with papillary thyroidcarcinoma were selected. All the patients were underwent routine prophylactic central lymph node dissection. The postoperative complications and prognosis were observed and the clinical pathological data and central lymph node metastasis were compared. Results: Postoperative pathology showed the central lymph node metastasis rate was 30.56%. tumor penetration thyroid membrane central lymph node metastasis rate was 53.33%, significantly higher than that of non penetrating 14.29%, the difference was statistically significant (P<0.05); Multiple tumors in patients with central lymph node metastasis rate was 70%,significantlyhigher than that of single tumor in 24.19% patients, the difference was statistically significant(P<0.05); The different age, gender, tumor diameter, tumor unilateral and bilateralpatientscentral lymph node metastasis rate showed no statistical significance (P > 0.05); Patients with postoperative complications in 3 cases, including 1 case of transient recurrent nerve injury, 2 cases of transient hypoparathyroidism. Patients were given aftertreatment, all symptomsinthe postoperative 2 ~ 6 months away. No deaths occurred during the follow-up period. Conclusion: cN0 papillary thyroid cancer for the first time in the treatment of routine prophylactic central lymph node dissection approach is necessary and safe.
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2018, Vol. 24 
