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논문 기본 정보

자료유형
학술저널
저자정보
Sang-Ah Han (Kyung Hee University School of Medicine) Won Seo Park (Kyung Hee University School of Medicine) Jae-Hoon Jang (Kyung Hee University School of Medicine) Sun-Young Min (Kyung Hee University School of Medicine) Jung Kyu Ryu (Kyung Hee University School of Medicine) Jeong-Yoon Song (Kyung Hee University School of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.87 No.4
발행연도
2014.9
수록면
174 - 179 (6page)

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Purpose: The primary aim of the present study was to analyze the association between high-risk clinicopathologic characteristics and the BRAFV600E mutation.
Methods: From March 2010 to September 2012, we performed analysis of the BRAF mutation (assessing V600E point mutation of BRAF gene, exon 15, on chromosome 7q34 by real-time polymerase chain reaction kit) from 499 papillary thyroid carcinoma (PTC) patients who underwent thyroidectomy. We analyzed the relation between the mutation and known clinicopathologic risk factors of PTC.
Results: BRAF mutations were found in 353 of 499 patients (70.7%). On univariate analysis, BRAF mutations were more frequently detected in patients with central lymph node metastasis (78.5% vs. 66.7%, P = 0.007) and classic PTC type (71.3% vs. 16.7%, P = 0.011). Patients with one or more aggressive pathologic feature such as lymph node metastasis, multifocality, and extrathyroidal extension showed higher BRAF mutation rate (73.5% vs. 62.3%, P = 0.022). BRAF mutation group showed more aggressive pathologic features, which is considered as higher necessity of radioactive iodine ablation (relative risk, 1.617; P = 0.035).
Conclusion: This study found that BRAF mutation is associated with classic PTC and central lymph node metastasis and higher necessity of radioactive iodine ablation.

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UCI(KEPA) : I410-ECN-0101-2015-510-002857710