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目的:探讨原发灶不明的颈部淋巴结甲状腺乳头状转移癌的诊断、治疗和预后。方法:总结2009-2015年5例原发灶不明的颈部淋巴结甲状腺乳头状转移癌患者的临床资料。结果:依据术前检查,2例仅行颈部淋巴结切除,另3例行甲状腺次全切或全切加颈清;病理结果均显示颈部为甲状腺乳头状癌,原发灶甲状腺正常。随访时间1~7年,无复发。结论:原发灶不明的颈部淋巴结甲状腺乳头状转移癌是否切除甲状腺宜慎重。
Objective: To investigate the diagnosis, treatment and prognosis of thyroid papillary metastatic carcinoma of the neck with unknown primary tumor. Methods: The clinical data of 5 patients with papillary thyroid lymph node metastasis from cervical lymph node with unknown primary tumor from 2009 to 2015 were summarized. Results: According to the preoperative examination, only two cases of lymph node dissection were performed in the neck. The other three cases were subtotal or complete neck dissection. The pathological findings showed that the neck was papillary thyroid carcinoma and the primary thyroid was normal. Follow-up time of 1 to 7 years, no recurrence. Conclusions: It is advisable to excise the thyroid gland for thyroid papillary thyroid carcinoma of unknown origin in cervical lymph nodes.