医学
神秘的
优势比
甲状腺乳突癌
肿瘤科
转移
淋巴结
淋巴结转移
荟萃分析
置信区间
内科学
放射科
癌症
甲状腺癌
病理
替代医学
作者
Shaohua Zhan,Dan Luo,Wei Ge,Bin Zhang,Tianxiao Wang
出处
期刊:Head & neck
[Wiley]
日期:2019-04-02
卷期号:41 (7): 2441-2449
被引量:39
摘要
Abstract Background This meta‐analysis aimed to identify the clinicopathological factors that could predict the risk of occult lateral neck lymph node metastasis (OLLNM) in N0/N1a papillary thyroid cancer (PTC). Methods A literature search of PubMed, Web of Science, OvidSP, and Chinese National Knowledge Infrastructure databases was performed using relevant keywords. Specific odds ratios and confidence intervals were calculated. Results The final analysis included 15 studies with a total of 5342 patients. OLLNM was found to be significantly associated with some clinicopathological features, including age <45 years, male sex, extrathyroidal extension, tumor location in the upper pole, tumor size >10 mm, positive central lymph node metastasis, number of central lymph node metastasis ≥3, and vascular invasion. Conclusions Fine‐needle aspiration (FNA) cytology or FNA‐Tg test might be an appropriate and reasonable intervention in the patients with N0/N1a PTC with an increased risk of OLLNM.
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