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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 1,400 - 1,406 (7page)
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Purpose: To investigate the ultrasonographic (US) features of anaplastic thyroid cancer (ATC) and the diagnostic performance of US-guided fine needle aspiration biopsy (FNAB) therein. Materials and Methods: Eighteen cases of ATC diagnosed between January 2001 and May 2011 were included. FNAB was performed in all cases. Initial FNAB results were divided into three groups: 1) the cytological ATC group, cytological diagnosis of ATC; 2) the underestimated group, cytological diagnoses of malignancy other than ATC; and 3) the false negative group, cytological diagnoses of atypical, benign and non-diagnostic lesions. We retrospectively reviewed US findings and compared treatment modalities between each group. Results:Among the 18 patients, there were nine in the initially cytological ATC group, four in the underestimated group and five in the false negative group. The most common US features of ATC were a solid (64.7%) and irregular shaped (88.2%) mass with lymph node involvement (76.4%). However, except for lymph node involvement (p=0.003), US findings for each group were not statistically different. The initial cytological diagnostic accuracy of ATC was 50% (9/18). Surgery was performed less in the ATC group (11%) and the false negative group (20%) than the underestimated group (75%). Conclusion: The US features of ATC were not especially different from other types of aggressive thyroid cancer. A correct diagnosis of ATC by initial US-FNAB was made in 50% of the patients, which is significant in that therapeutic surgery can be undertaken in lower numbers if correctly diagnosed.
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참고문헌 (27)
참고문헌 신청
Ain KB / 1999 / Anaplastic thyroid carcinoma: a therapeutic challenge / Semin Surg Oncol 16 : 64 ~ 69
Akaishi J / 2011 / Prognostic factors and treatment outcomes of 100 cases of anaplastic thyroid carcinoma / Thyroid 21 : 1183 ~ 1189
Are C / 2006 / Anaplastic thyroid carcinoma: biology, pathogenesis, prognostic factors, and treatment approaches / Ann Surg Oncol 13 : 453 ~ 464
Besic N / 2001 / Effect of primary treatment on survival in anaplastic thyroid carcinoma / Eur J Surg Oncol 27 : 260 ~ 264
Boerner SL / 2010 / Biopsy interpretation of the thyroid / Lippincott Williams & Wilkins, a Wolters Kluwer business
Akaishi J / 2011 / Prognostic factors and treatment outcomes of 100 cases of anaplastic thyroid carcinoma / Thyroid 21 : 1183 ~ 1189
Are C / 2006 / Anaplastic thyroid carcinoma: biology, pathogenesis, prognostic factors, and treatment approaches / Ann Surg Oncol 13 : 453 ~ 464
Besic N / 2001 / Effect of primary treatment on survival in anaplastic thyroid carcinoma / Eur J Surg Oncol 27 : 260 ~ 264
Boerner SL / 2010 / Biopsy interpretation of the thyroid / Lippincott Williams & Wilkins, a Wolters Kluwer business
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