지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.5
- 수록면
- 307 - 312 (6page)
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초록· 키워드
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Purpose: Papillary thyroid cancer with level VII (anterior superior mediastinal lymph nodes) lymph node metastasis belongs to Stage IV a according to the Americal Joint Committee on Cancer cancer staging. The aim of our study was to identify clinicopathologic factors that are related to level VII cervical lymph node metastasis and to suggest recommendations for level VII dissection. Methods: We reviewed 195 patients with papillary thyroid carcinoma who had their initial operation containing level VII dissection from April 2006 to June 2007. Level VII dissection involved lymph nodes in the anterior superior mediastinum and tracheoesophageal grooves, extending from the suprasternal notch to the innominate artery. Clinicophathologic factors, such as gender, age and lateral neck metastasis, related to Level VII metastasis were analyzed by tumor size, multifocality of tumor, extrathyroidal extension and lymphovascular invasion. Results: Nine (4.6%) of 195 patients with papillary thyroid carcinoma had level VII metastasis. Clinicopathologic factors that were related to level VII metastasis included lateral neck metastasis (P ＜ 0.01), tumor size (P ＜ 0.01) and lymphovascular invasion (P ＜ 0.05). Conclusion: If preoperatively, the tumor size is over 1.5 cm, or there is lateral neck metastasis, level VII dissection must be considered. If there is lymphovascular invasion pathologic findings postoperatively, special attention should be paid for detection of level VII recurrence.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - McConahey WM / 1986 / Papillary thyroid cancer treated at the Mayo Clinic, 1946 through 1970: initial manifestations, pathologic findings, therapy, and outcome / Mayo Clin Proc 61 : 978 ~ 996
2. [학술지(정기간행물)] - Rossi RL / 1986 / Current results of conservative surgery for differentiated thyroid carcinoma / World J Surg 10 : 612 ~ 622
3. [학술지(정기간행물)] - Hay ID / 1993 / Predicting outcome in papillary thyroid carcinoma: development of a reliable prognostic scoring system in a cohort of 1779 patients surgically treated at one institution during 1940 through 1989 / Surgery 114 : 1050 ~ 1057
4. [학술지(정기간행물)] - Sato N / 1998 / Do the level of nodal disease according to the TNM classification and the number of involved cervical nodes reflect prognosis in patients with differentiated carcinoma of the thyroid gland / J Surg Oncol 69 : 151 ~ 155
5. [학술지(정기간행물)] - Mazzaferri EL / 1994 / Long-term impact of initial surgical and medical therapy on papillary and follicular thyroid cancer / Am J Med 97 : 418 ~ 428
2. [학술지(정기간행물)] - Rossi RL / 1986 / Current results of conservative surgery for differentiated thyroid carcinoma / World J Surg 10 : 612 ~ 622
3. [학술지(정기간행물)] - Hay ID / 1993 / Predicting outcome in papillary thyroid carcinoma: development of a reliable prognostic scoring system in a cohort of 1779 patients surgically treated at one institution during 1940 through 1989 / Surgery 114 : 1050 ~ 1057
4. [학술지(정기간행물)] - Sato N / 1998 / Do the level of nodal disease according to the TNM classification and the number of involved cervical nodes reflect prognosis in patients with differentiated carcinoma of the thyroid gland / J Surg Oncol 69 : 151 ~ 155
5. [학술지(정기간행물)] - Mazzaferri EL / 1994 / Long-term impact of initial surgical and medical therapy on papillary and follicular thyroid cancer / Am J Med 97 : 418 ~ 428
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UCI(KEPA) : I410-ECN-0101-2013-514-002684140