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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.3
- 발행연도
- 2013.9
- 수록면
- 97 - 103 (7page)
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Purpose: Ultrasonographic (US) criteria on malignant thyroid bed mass have been suggested, including taller than wide shape, loss of echogenic hilum, abnormal vascularity, and microcalcification. The relationship between fine-needle aspiration (FNA) cytology findings and US findings on thyroid bed mass is unknown. We have retrospectively assessed the malignant thyroid bed mass after total thyroidectomy due to papillary thyroid carcinoma (PTC).
Methods: We retrospectively evaluated 2,048 patients who underwent total thyroidectomy due to PTC. FNA was performed in 97 patients on the thyroid bed under US surveillance. The 97 suspicious thyroid bed masses were divided into two groups: metastatic thyroid bed group (n = 34) and nonmetastatic group (n = 63). The groups were evaluated according to various clinical, serologic, and US findings.
Results: Within a median 47.0 months of follow-up, the proportion of malignant thyroid bed mass was high in large tumor size (1.37 cm vs. 1.03 cm), isthmic position (10.3% vs. 3.9%), and previous N1a (55.9% vs. 34.9%). US findings revealed that the presence of microcalcification or macrocalcification (47.1% vs. 19.0%) and thyroid bed mass height (5.4 mm vs. 3.9 mm) were the only discriminable criteria for central compartment recurrence. But, degree of echogenicity, loss of hilum, and irregularity of margin failed to discriminate malignant thyroid bed mass.
Conclusion: US findings on malignant thyroid bed mass were different from previously reported general criteria on lateral metastatic nodes. Additional FNA cytology should be performed on patients, even low-risk patients, who present the above findings.
Methods: We retrospectively evaluated 2,048 patients who underwent total thyroidectomy due to PTC. FNA was performed in 97 patients on the thyroid bed under US surveillance. The 97 suspicious thyroid bed masses were divided into two groups: metastatic thyroid bed group (n = 34) and nonmetastatic group (n = 63). The groups were evaluated according to various clinical, serologic, and US findings.
Results: Within a median 47.0 months of follow-up, the proportion of malignant thyroid bed mass was high in large tumor size (1.37 cm vs. 1.03 cm), isthmic position (10.3% vs. 3.9%), and previous N1a (55.9% vs. 34.9%). US findings revealed that the presence of microcalcification or macrocalcification (47.1% vs. 19.0%) and thyroid bed mass height (5.4 mm vs. 3.9 mm) were the only discriminable criteria for central compartment recurrence. But, degree of echogenicity, loss of hilum, and irregularity of margin failed to discriminate malignant thyroid bed mass.
Conclusion: US findings on malignant thyroid bed mass were different from previously reported general criteria on lateral metastatic nodes. Additional FNA cytology should be performed on patients, even low-risk patients, who present the above findings.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer / 2009 / Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer / Thyroid 19 : 1167 ~ 1214
2. [학술지(정기간행물)] - Mazzaferri EL / 2001 / Clinical review 128: current approaches to primary therapy for papillary and follicular thyroid cancer / J Clin Endocrinol Metab 86 : 1447 ~ 1463
3. [학술지(정기간행물)] - Hay ID / 2002 / Papillary thyroid carcinoma managed at the Mayo Clinic during six decades (1940-1999): temporal trends in initial therapy and long-term outcome in 2444 consecutively treated patients / World J Surg 26 : 879 ~ 885
4. [학술지(정기간행물)] - Fish SA / 2008 / Sonographic imaging of thyroid nodules and cervical lymph nodes / Endocrinol Metab Clin North Am 37 : 401 ~ 417
5. [학술지(정기간행물)] - Rosario PW / 2005 / Ultrasonographic differentiation between metastatic and benign lymph nodes in patients with papillary thyroid carcinoma / J Ultrasound Med 24 : 1385 ~ 1389
2. [학술지(정기간행물)] - Mazzaferri EL / 2001 / Clinical review 128: current approaches to primary therapy for papillary and follicular thyroid cancer / J Clin Endocrinol Metab 86 : 1447 ~ 1463
3. [학술지(정기간행물)] - Hay ID / 2002 / Papillary thyroid carcinoma managed at the Mayo Clinic during six decades (1940-1999): temporal trends in initial therapy and long-term outcome in 2444 consecutively treated patients / World J Surg 26 : 879 ~ 885
4. [학술지(정기간행물)] - Fish SA / 2008 / Sonographic imaging of thyroid nodules and cervical lymph nodes / Endocrinol Metab Clin North Am 37 : 401 ~ 417
5. [학술지(정기간행물)] - Rosario PW / 2005 / Ultrasonographic differentiation between metastatic and benign lymph nodes in patients with papillary thyroid carcinoma / J Ultrasound Med 24 : 1385 ~ 1389
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UCI(KEPA) : I410-ECN-0101-2014-510-002804848