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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.
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- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
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- 1 - 11 (11page)
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The incidence of PTMC (papillary thyroid microcarcinoma) has rapidly increased recently due to the application of ultrasonography to the thyroid. The good prognosis of PTMC is well known with a mortality rate of less than 1%. However, there is controversy about the surgical extent of thyroidectomy for PTMC patients between surgeons and endocrinologists due to differences in understanding the clinical properties of PTMC, while having a difference in basic concepts in the treatment and follow up strategy for PTMC patients. Total thyroidectomy is recommended for PTMC patients because there is no major difference in the rate of lymph node metastasis, extrathyroidal extension, multiplicity between the PTMC and PTC over 1 cm in size and although rare, occasional distant metastasis and mortality cases could be developed. However, there is no evidence of benefit of total thyroidectomy for the survival rate of PTMC patients. The microscopic lymph node metastasis and extrathyroidal extension are not prognostic factors for the survival or recurrence in PTMC. The clinical lateral neck lymph node metastasis and multiplicity has been proposed as valuable prognostic factors in micropapillary carcinoma and these factors could be assessed accurately by ultrasonography preoperatively. A decision on the proper extent of thyroidectomy could be possible in most PTMC patients. This article summarizes available data and concludes that routine total thyroidectomy for PTMC patients is not rational. (Korean J Endocrine Surg 2011;11:1-11)
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참고문헌 (25)
참고문헌 신청
[학술지(정기간행물)
Cappelli C / 2007 / Aggressiveness and outcome of papillary thyroid carcinoma (PTC) versus microcarcinoma (PMC): a mono-institutional experience / J Surg Oncol 95 : 555 ~ 56
Carcangiu ML / 1985 / Papillary carcinoma of the thyroid. A clinicopathologic study of 241 cases treated at the University of Florence, Italy / Cancer 55 : 805 ~ 828
Cheema Y / 2006 / Is tumor size the best predictor of outcome for papillary thyroid cancer? / Ann Surg Oncol 13 : 1524 ~ 1528
Chow SM / 2003 / Papillary microcarcinoma of the thyroid-Prognostic significance of lymph node metastasis and multifocality / Cancer 98 : 31 ~ 40
Cappelli C / 2007 / Aggressiveness and outcome of papillary thyroid carcinoma (PTC) versus microcarcinoma (PMC): a mono-institutional experience / J Surg Oncol 95 : 555 ~ 56
Carcangiu ML / 1985 / Papillary carcinoma of the thyroid. A clinicopathologic study of 241 cases treated at the University of Florence, Italy / Cancer 55 : 805 ~ 828
Cheema Y / 2006 / Is tumor size the best predictor of outcome for papillary thyroid cancer? / Ann Surg Oncol 13 : 1524 ~ 1528
Chow SM / 2003 / Papillary microcarcinoma of the thyroid-Prognostic significance of lymph node metastasis and multifocality / Cancer 98 : 31 ~ 40
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