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논문 기본 정보

자료유형
학술저널
저자정보
Jin Seong Cho (Chonnam National University College of Medicine) Jung Han Yoon (Chonnam National University Medical School) Min Ho Park (Chonnam National University College of Medicine) Sun Hyoung Shin (Chonnam National University College of Medicine) Young Jong Jegal (Chonnam National University College of Medicine) Ji Shin Lee (Chonnam National University College of Medicine) Hee Kyung Kim (Chonnam National University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.5
발행연도
2012.11
수록면
259 - 266 (8page)

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초록· 키워드

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We investigated the prognosis according to age in papillary thyroid carcinoma (PTC) patients. Methods: We retrospectively evaluated 2,890 patients who underwent thyroidectomy due to PTC between May 2004 and Aug 2008. We divided patients into 3 groups: young (≤35 years old), middle (between 35 and 54 years old), and old (≥55 years old). Results: Median age was 47.0 years old (range, 15 to 82 years). Within a follow-up period median of 50 months, there were 148 (5.1%) locoregional recurrences, 6 (0.2%) PTC-related deaths, and 18 (0.6%) PTC-unrelated deaths. Outcomes were more favorable in the young group, with no PTC-related death despite the frequent locoregional recurrence. In the old group compared to the middle, there was a higher proportion of male, and more aggressive types as T3 or N1b, higher mean tumor number, more multiplicity, and bilaterality. The old group of ≥55 years did not show a significant difference in PTC-related deaths than other age groups in Cox analysis (OR, 0.9; P = 0.677), but a significant cutoff age in PTC-related deaths at 62.5 years was determined in ROC analysis (area under curve = 0.912). Conclusion: We showed that the ≤35 years group shows favorable prognosis despite the frequent locoregional recurrence and ≥62.5 years group shows a poor prognosis regardless of other factors such as male sex or tumor aggressiveness. Further multiinstitutional studies are needed to elucidate the prognosis according to patient’s age.

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Abstract
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
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UCI(KEPA) : I410-ECN-0101-2014-514-000804322