治疗甲状腺乳头状癌的超选择性颈部切除术与选择性颈部切除术

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

Annals of Otology Rhinology and Laryngology Pub Date : 2025-04-01 Epub Date: 2024-11-27 DOI:10.1177/00034894241302142

Shi Liang, Nikhil Bellamkonda, Benton Tullis, Jason P Hunt

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引用次数: 0

摘要

背景：超选择性颈侧切除术（SSND）是指切除2个或2个以下连续的颈侧结节，它已成为转移性甲状腺乳头状癌（PTC）的一种治疗选择，以取代选择性颈侧切除术（SND）。在这种情况下，很少有研究探讨SSND与SND相比的疗效：这是一项单机构回顾性研究。研究回顾了2019年至2022年期间所有确诊为PTC并进行了颈侧切除术的患者。比较了患者的人口统计学特征和结果：共有136名患者符合纳入标准。约106人（78%）进行了SND，30人（22%）进行了SSND。在术后并发症发生率、住院时间（2.49 天 vs 2.31 天）、术后甲状腺球蛋白>10 ng/mL（21 人 vs 3 人）、区域复发率（14% vs 17%）、再次手术率（16.7% vs 17.4%）或辅助放射性碘治疗（75% vs 63%; P > .05）方面，SND 与 SSND 患者无明显差异：结论：与SND相比，SSND治疗PTC的短期临床效果相似。

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Superselective Versus Selective Neck Dissection in the Treatment of Papillary Thyroid Carcinoma.

Background: Superselective lateral neck dissection (SSND), defined as dissection of 2 or less contiguous lateral cervical nodal levels, has emerged as a treatment option for metastatic papillary thyroid carcinoma (PTC), in place of a selective neck dissection (SND). There are few studies exploring outcomes of SSND compared to SND in this context.

Materials and methods: This was a single institution retrospective study. All patients who were diagnosed with PTC and had a lateral neck dissection from 2019 to 2022 were reviewed. Patient demographics and outcomes were compared.

Results: A total of 136 patients met inclusion criteria. About 106 (78%) had a SND and 30 (22%) had a SSND. There was no significant difference between patients who underwent SND versus SSND regarding frequency of post-operative complications, length of stay (2.49 vs 2.31 days), post-operative thyroglobulin >10 ng/mL (21 vs 3 patients), regional recurrence (14% vs 17%), reoperation rates (16.7% vs 17.4%), or adjuvant radioactive iodine therapy (75% vs 63%; P > .05).

Conclusions: SSND for PTC had similar short-term clinical outcomes when compared to SND.

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.