grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2020-179-3-107-112grekov-1393Research ArticleОБЗОРЫREVIEWSРоль определения сторожевого лимфоузла при лечении высокодифференцированного рака щитовидной железы низкого риска (обзор литературы)The role of defining the sentinel lymph node in the treatment of low-risk highly differentiated thyroid cancer (review of literature)https://orcid.org/0000-0002-0037-6222БорисковаМ. Е.BoriskovaM. E.

Борискова Марина Евгеньевна, кандидат медицинских наук, доцент кафедры хирургии общей с клиникой

Санкт-Петербург

Boriskova Marina E., Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with Clinic

Saint Petersburg

boriskovam@gmail.comhttps://orcid.org/0000-0002-8941-4482ФарафоноваУ. В.FarafonovaU. V.

Фарафонова Ульяна Валентиновна, кандидат медицинских наук, ассистент кафедры хирургии общей с клиникой

Санкт-Петербург

Farafonova Uliana V., Cand. of Sci. (Med.), Assistant of the Department of General Surgery with Clinic

Saint Petersburg

medici@yandex.ruhttps://orcid.org/0000-0002-6909-1858ПанковаП. А.PankovaP. A.

Панкова Полина Александровна, кандидат медицинских наук, ассистент кафедры хирургии общей с клиникой

Санкт-Петербург

Pankova Polina A., Cand. of Sci. (Med.), Assistant of the Department of General surgery with Clinic

Saint Petersburg

polpankova@gmail.comhttps://orcid.org/0000-0001-6806-1414БыковМ. А.BykovM. A.

Быков Михаил Андрианович, кандидат медицинских наук, врач-хирург онкологического отделения № 3 (хирургической эндокринологии) НИИ хирургии и неотложной медицины

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8. 

Bykov Mikhail A., Cand. of Sci. (Med.), Surgeon of Oncological Department № 3 (Surgical Endocrinology) of the Research Institute of Surgery and Emergency Medicine

6-8, L. Tolstoy str., Saint Petersburg, 197022, Russia.

dr.bykov@mail.ruhttps://orcid.org/0000-0001-5723-6741РамазановаЭ. А.RamazanovaE. A.

Рамазанова Эльмира Алибеевна, врач-хирург онкологического отделения № 3 (хирургической эндокринологии) НИИ хирургии и неотложной медицины

Санкт-Петербург

Ramazanova Elmira A., Surgeon of Oncological Department № 3 (Surgical Endocrinology) Research Institute of Surgery and Emergency Medicine

Saint Petersburg

eliasik@mail.ruhttps://orcid.org/0000-0002-6137-3308ФещенкоН. С.FeshenkoN. S.

Фещенко Наталия Сергеевна, кандидат медицинских наук, ассистент кафедры хирургии общей с клиникой

Санкт-Петербург

Feshenko Natalia S., Cand. of Sci. (Med.), Assistant of the Department of General surgery with Clinic

Saint Petersburg

feshenco_ns@mail.ruhttps://orcid.org/0000-0002-8514-5377ЗахаренкоА. А.ZakharenkoA. A.

Захаренко Александр Анатольевич, доктор медицинских наук, доцент кафедры онкологии, руководить отдела онкохирургии НИИ хирургии и неотложной медицины

SPIN-код: 3209-8677

Санкт-Петербург

Zakharenko Aleksandr A., Dr. of Sci. (Med.), Associate Professor of the Department of Oncology, Head of the Department of Oncological Surgery of the Research Institute of Surgery and Emergency Medicine

Saint Petersburg

9516183@mail.ruhttps://orcid.org/0000-0002-2020-0371ЯицкийН. А.YaitskyN. A.

Яицкий Николай Антонович, доктор медицинских наук, профессор, академик РАН, зав. кафедрой хирургии госпитальной с клиникой

Санкт-Петербург

Yaitsky Nikolai A., Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head of the Department of Hospital Surgery with Clinic

Saint Petersburg

Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov UniversityRussian Federation2020170520201793107112Copyright © Борискова М.Е., Фарафонова У.В., Панкова П.А., Быков М.А., Рамазанова Э.А., Фещенко Н.С., Захаренко А.А., Яицкий Н.А., 20202020Борискова М.Е., Фарафонова У.В., Панкова П.А., Быков М.А., Рамазанова Э.А., Фещенко Н.С., Захаренко А.А., Яицкий Н.А.Boriskova M.E., Farafonova U.V., Pankova P.A., Bykov M.A., Ramazanova E.A., Feshenko N.S., Zakharenko A.A., Yaitsky N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/1393

Определение сторожевого лимфатического узла – методика, появившаяся в середине XX в. Для ряда злокачественных новообразований определение сторожевого лимфатического узла является процедурой стандартной, но для высокодифференцированного рака щитовидной железы данные противоречивы. Консенсуса о необходимости выполнения профилактической центральной лимфодиссекции при клинической N0-стадии не достигнуто. Одним из возможных путей решения видится выполнение маркировки сторожевого лимфатического узла, что потенциально может снизить риск персистенции и рецидивирования высокодифференцированного рака щитовидной железы.

The definition of a sentinel lymph node is a technique that appeared at the middle of the 20th century. For a number of malignant neoplasms, the definition of a sentinel lymph node is standard procedure, but for highly differentiated thyroid cancer, the data is conflicting. The role of prophylactic central compartment lymph node dissection in the clinical N0 stage is not established. Sentinel lymph node detection seems to be the possible way to reduce the risk of persistence and recurrence of highly differentiated thyroid cancer.

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The authors declare that there are no conflicts of interest present.