1、FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL李月云李月云 教授教授金显宅金显宅 教授教授全颈清扫术改良颈清扫术择区性颈清扫术扩大颈清扫术颈淋巴结清扫术颈淋巴结清扫术以手术清扫范围划分FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCE
2、R HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY F
3、UDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPIT
4、ALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL颈部 “ L ”型切口FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSI
5、TY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVE
6、RSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER
7、 HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY C
8、ANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSIT
9、Y FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL不同甲状腺癌的颈清扫策略甲状腺癌双颈转移2cN1、cN0、cNx的分化型甲状腺癌1青少年甲状腺癌34髓样癌颈淋巴结术后复发5FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL中年女性，左颈淋巴结广泛转移，侵犯颈内静脉壁FUDAN UNIVERSITY FUDAN UNIVERSITY CANCE
10、R HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL中央区中央区淋巴结淋巴结多发转移多发转
11、移外侵外侵心理负担重心理负担重无条件随访无条件随访原发灶原发灶外侵明显外侵明显颈清扫颈清扫FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALcN0患者的颈清扫策略2FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALcN0-case2FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER H
12、OSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL甲状腺癌双颈转移甲状腺癌双颈转移一期手术一期手术二期手术二期手术双侧颈清扫同时进行双侧颈清扫同时进行双侧颈清先后进行双侧颈清先后进行FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUD
13、AN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL二期手术FUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITALFUDAN UNIVERSITY FUDAN UNIVERSITY CANCER HOSPITALCANCER HOSPITAL
