갑상선 여포암의 임상양상과 고찰

모정아; 이국행; 이병철; 이명철; 정문상; 조평산; 심윤상; 이용식; 전병삼

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자료유형: 학술저널

저자정보: 모정아 이국행 이병철 이명철 정문상 조평산 심윤상 이용식 전병삼

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제53권 제1호

발행연도: 2010.1

수록면: 30 - 36 (7page)

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연구배경

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Background and ObjectivesZZFollicular thyroid carcinoma (FTC) is the second most common thyroid malignancy after papillary thyroid carcinoma. We performed this study to obtain further understanding and more supporting ideas for the diagnosis and treatment of thyroid follicular carcinoma. Subjects and MethodZZOver a 12-year period, 126 patients surgically treated for FTC with an average follow-up of 57.5 months were retrospectively studied. ResultsZZEighteen (14.3%) patients had distant metastasis at presentation and completion thyroidectomy was performed for 58 patients (46%) after partial thyroidectomy. This implies how difficult it is to diagnosis this type of cancer at the preoperative or intra-operative stage of treatment. Fine-needle aspiration cytology has been shown to be an ineffective method for the diagnosis of FTC. Five patients developed recurrent distant metastasis 6 month after their initial treatment and 3 patients died of persistent distant metastatic disease. The 10-year overall survival rate were 97.6%, and 10-year disease free survival rate was 82.5%. The patients with minimally invasive follicular carcinoma (n=92) and low risk group according to AMES classification,stage IV in TNM classification had more favorable prognosis. But the results showed no statistically significant difference. ConclusionZZSeveral staging systems can be applied specifically to patients with FTC. The distinction of FTC in minimally invasive and widely invasive carcinoma, analysis of prognostic factor (recurrence, local invasion, distant metastasis, age, tumor size) is important in identifying low risk patients for a more conservative treatment.

#Thyroid neoplasm·Follicular carcinoma.

참고문헌 (19)

참고문헌 신청

Byar DP / 1979 / A prognostic index for thyroid carcinoma: A study of the E.O.R.T.C. Thyroid cancer cooperative group / Eur J Cancer 15 (8) : 1033 ~ 1041

Cardy B / 1988 / An expanded view of risk group definition in differentiated thyroid carcinoma / Surgery 104 (6) : 947 ~ 953

Chow SM / 2002 / Follicular thyroid carcinoma: prognostic factors and the role of radioiodine / Cancer 95 (3) : 488 ~ 498

Dosen D / 2003 / The value of frozen section in intraoperative surgical management of thyroid follicular carcinoma / Head Neck 25 (7) : 521 ~ 528

D’Avanzo A / 2004 / Follicular thyroid carcinoma: Histology and prognosis / Cancer 100 (6) : 1123 ~ 1129

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