[Characteristics of the clinical course and the results of the treatment of patients with regional metastases of thyroid gland cancer].
In the clinic of the P. A. Herzen Research Institute of Oncology, under observation were 227 patients with regional metastases of thyroid cancer. 135 of 227 patients were primarily treated in the clinic. Ninety two patients were admitted to the clinic after nonradical surgical interventions on the thyroid and jugular lymph apparatus. The main groups of regional lymph nodes, where metastases were localized, were as follows: deep jugular group (upper--51.1%, median--80.3%, lower--79.7%); supra-clavicular region--33.8%, paratracheal zone--41.4%. Lymph nodes of the submaxillary region were involved only in 1.3%. Sheath-fascial dissection of lymph nodes and jugular cellular tissue with the removal of paratracheal cellular tissue seems to be the operation of choice for regional metastases. The Kreil operation is indicated only in metastatic proliferation of the internal jugular vein and sterno-cleidomastoid muscle. Such operation was employed in 5 patients (2.5%). 166 patients were followed for 3 years and longer, 117 of them being alive (70.4%). The survival over 5 years was noted in 55 patients (57.9%).
D000328:Adult; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009333:Neck; D037981:Neck Dissection / Q000009:adverse effects; D011300:Preoperative Care; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery
Osobennosti klinicheskogo techeniia i rezul'taty lecheniia bol'nykh s regionarnymi metastazami raka shchitovidnoĭ zhelezy.