Functional and oncological outcomes after retropharyngeal node dissection for papillary thyroid carcinoma
Functional and oncological outcomes after retropharyngeal node dissection for papillary thyroid carcinoma
复制标题
甲状腺乳头状癌咽后淋巴结清扫术后的功能和肿瘤学结果
DOI：
10.1007/s00405-019-05420-w
复制
发表时间：
2019
影响因子：
2.6
通讯作者：
Nibu Ken-ichi
中科院分区：
文献类型：
--
作者：
Otsuki Naoki;Morita Naruhiko;Furukawa Tatsuya;Teshima Masanori;Shinomiya Hitomi;Shinomiya Hirotaka;Nibu Ken-ichi
BackgroundPapillary thyroid carcinoma often metastases to central and lateral neck lymph nodes，but metastases to retropharyngeal lymph nodes（RPLN）is rare.Patients and MethodsWe retrospectively reviewed 16 patients with RPLN metastasis of PTC who undertaken therapeutic dissection of RPLN metastasis. ResultsIn 16 patients，7 patients undertaken RPLN dissection with initial surgery and remaining 9 patients as salvage surgery.单侧RPLN转移15例，双侧RPLN转移1例。11例患者出现暂时性吞咽困难，4例患者出现暂时性声带麻痹，但所有病例的两种症状最终均恢复。2例挽救性RPLN夹层患者死于远处转移，6例患者因远处转移和/或持续性局部区域疾病而存活。其他8例患者一直活着，没有diseases.ConclusionsAlthough transcerebral的方法为RPLN转移的PTC提供了可接受的功能和肿瘤学的结果，一半的RPLN转移的患者有远处转移和/或持续的局部疾病。RPLN转移患者的手术指征需要仔细考虑患者的预后和生活质量。
BackgroundPapillary thyroid carcinoma frequently metastasizes to central and lateral neck lymph nodes, but metastasis to retropharyngeal lymph nodes (RPLN) is rare.Patients and methodsWe retrospectively reviewed 16 patients with RPLN metastasis of PTC who underwent therapeutic dissection of RPLN metastases.ResultsAmong 16 patients, 7 patients underwent RPLN dissection with initial surgery and remaining 9 patients as salvage surgery. RPLN metastasis arose unilaterally in 15 patients and bilaterally in 1 patient. Eleven patients showed temporal dysphagia and four patients showed temporal vocal cord paralysis, but both symptoms eventually recovered in all cases. Two patients with salvage RPLN dissection died of distant metastasis and six patients survived with distant metastasis and/or persistent loco-regional disease. Other eight patients have been alive without disease.ConclusionsAlthough transcervical approach for RPLN metastases of PTC provided acceptable functional and oncological outcomes, half of the patients with RPLN metastasis have had distant metastasis and/or persistent locoregional disease. Indications of surgery for patients with RPLN metastasis need to be performed carefully in consideration of patients' prognosis and quality of life.