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- W2749712670 abstract "ObjectiveTo investigate the diagnostic value of ultrasonography for neck lymph node metastasis in papillary thyroid carcinoma(PTC) and Hashimoto′s thyroiditis(HT) coexistent with PTC.MethodsTwo hundred and seventy-eight patients who accepted thyroid surgery were retrospectively reviewed for the pre-operative ultrasonographic and post-operative pathological reports. All patients were confirmed as PTC by surgery and pathology. According to the presence of HT confirmed in pathology, all patients were divided into two groups: group of PTC and group of HT with PTC. The status of neck lymph node metastasis and the diagnostic value of pre-operative ultrasound in detecting neck lymph node metastasis were studied.ResultsThere were 185 cases in the group of PTC, and the rate of neck lymph node metastasis was 59.5%; while there were 93 cases in the group of HT with PTC, in which the rate of neck lymph node metastasis was 45.2%. The difference between the two groups in lymph node metastasis was statistically significant (P=0.024). The predictive accuracy of pre-operative ultrasound for central neck lymph node was 53.9% in the group of PTC, which was statistically higher than 18.8% in the group of HT with PTC(P=0.01). The predictive accuracy of pre-operative ultrasound for lateral neck lymph node was 79.4% in the group of PTC, which had no statistical difference with that in the group of HT with PTC (73.1%, P=0.565).ConclusionsThe neck lymph node metastasis in PTC patients occurs more frequently than that in PTC patients with HT. The value of pre-operative ultrasound examination is lower for the detection of central lymph node metastasis, especially in PTC patients with HT; while ultrasound is more sensitive and accurate for lateral lymph node detection regardless of the existence of HT.Key words: Ultrasonography; Hashimoto′s disease; Thyroid neoplasms; Lymphatic metastasis" @default.
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- W2749712670 date "2016-11-25" @default.
- W2749712670 modified "2023-09-26" @default.
- W2749712670 title "Diagnostic value of ultrasonography in predicting neck lymph node metastasis in Hashimoto's thyroiditis with papillary carcinoma" @default.
- W2749712670 doi "https://doi.org/10.3760/cma.j.issn.1004-4477.2016.11.011" @default.
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