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目前,虽然甲状腺微小乳头状癌(papillary thyroid microcarcinoma,PTMC)恶性程度一般较低,经规范化治疗后预后良好,但由于解剖位置及技术等因素限制,超声检查对中央区淋巴结转移的检出率并不满意,部分PTMC患者术前未发现淋巴结转移但术后病理证实有转移或存在微转移现象。目前国内外对于PTMC的手术方式及中央区淋巴结的处理方式颇有争议,对于PTMC中央区淋巴结清扫的指征尚未达成共识。《中国肿瘤临
At present, although the malignant degree of papillary thyroid microcarcinoma (PTMC) is generally low and the prognosis is good after standard treatment, the detection rate of central lymph node metastasis by ultrasound is limited due to the limitations of anatomic location and technique Not satisfied, some patients with PTMC lymph node metastasis was not found before surgery but confirmed pathological transfer or micrometastasis. Currently at home and abroad for the PTMC surgical approach and central lymph node treatment is controversial, the central lymph node dissection PTMC indications have not yet reached a consensus. "China Cancer Pro