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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 45(3-4)

Regional Lymph Node Metastasis in the Early Stage of Thyroid Cancer with Special Reference to the Dissection Method

https://doi.org/10.18999/nagjms.45.3-4.71
https://doi.org/10.18999/nagjms.45.3-4.71
e199324f-6a0a-4e64-a704-3d64dda5c915
名前 / ファイル ライセンス アクション
v45n34p71_77.pdf v45n34p71_77.pdf (508.3 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2013-01-25
タイトル
タイトル Regional Lymph Node Metastasis in the Early Stage of Thyroid Cancer with Special Reference to the Dissection Method
著者 MIZUNO, SHIGERU

× MIZUNO, SHIGERU

WEKO 46917

MIZUNO, SHIGERU

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FUNAHASHI, HIROOMI

× FUNAHASHI, HIROOMI

WEKO 46918

FUNAHASHI, HIROOMI

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KONDO, AKINORI

× KONDO, AKINORI

WEKO 46919

KONDO, AKINORI

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FUJIMOTO, MAKIO

× FUJIMOTO, MAKIO

WEKO 46920

FUJIMOTO, MAKIO

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TOMITA, AKIO

× TOMITA, AKIO

WEKO 46921

TOMITA, AKIO

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TAKATSUKI, KENSUKE

× TAKATSUKI, KENSUKE

WEKO 46922

TAKATSUKI, KENSUKE

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YAMAUCHI, KAZUYUKI

× YAMAUCHI, KAZUYUKI

WEKO 46923

YAMAUCHI, KAZUYUKI

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KITAHARA, HIDEMI

× KITAHARA, HIDEMI

WEKO 46924

KITAHARA, HIDEMI

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NAKASHIMA, NOBUO

× NAKASHIMA, NOBUO

WEKO 46925

NAKASHIMA, NOBUO

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GOTO, KISHIKO

× GOTO, KISHIKO

WEKO 46926

GOTO, KISHIKO

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抄録
内容記述 For the purpose of studying the appropriate surgical treatment for thyroid cancer in the early stage, extended modified neck dissection was carried out to examine node metastasis bilaterally in 22 patients considered preoperatively to be in this stage. These patients presented with only one movable unilateral nodule in the thyroid with no clinical evidence of nodal involvement. At the time of operation, as many vital structures as possible were preserved intact, resulting in a favorable postoperative course with no remarkable sequelae except for Horner's syndrome in one case. Since it was impossible to preserve the blood supply to the parathyroid glands as a consequence of adequate dissection of the tracheoesophageal nodes, they were totally removed and autotransplantated into the major pectoral muscle. As many as 20 patients (90.9%) had node metastases somewhere in the neck, of which 12 (54.5%) were bilateral. Some 224 (13.0%) out of the 1719 nodes dissected proved to contain metastases. In each case nodal involvement was found to be scattered over the entire neck region except for the contralateral submandibular nodes. The incidence of metastases in the inferior jugular nodes, para- and pretracheal group of the upper mediastinal nodes was 68.2%, 50.0% and 45.5%, respectively, implying the necessity Of mediastinotomy where possible for better results. Node metastases were also found in 31.8% of patients ipsilaterally as well as in 13.6% of patients contralaterally in the tracheoesophageal groove, where is the most critical point in the operation. The metastatic incidence of nodes overlying the thyroid cartilage and ipsilateral superior jugular nodes was as high as 36.4% and 50.0%, respectively. These results suggest that the thyroid cancer has already widely metastasized over the entire neck region at the time when the patient is diagnosed as having thyroid cancer, even if it is considered clinically to be in the early stage. Based upon these results, bilateral modified neck dissection, with mediastinotomy where possible, is considered the surgical treatment of choice for thyroid cancer. This operative method can be undertaken, according to our limited experience, without any remarkable complications or deleterious sequelae.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.45.3-4.71
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 45, 号 3-4, p. 71-77, 発行日 1983-06
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/4534/4534.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/17411
識別子タイプ HDL
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