수술 전 갑상선 암의 측경부 림프절전이 예측을 위한 지수화된 전산화 단층촬영 소견의 임상적 의의

김영중; 김지영; 김용석; 이관주; 이동호; 배자성; 성기영; 김정수; 박우찬

추천

검색

자료유형: 학술저널

저자정보: 김영중 김지영 김용석 이관주 이동호 배자성 성기영 김정수 박우찬

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제11권 제2호

발행연도: 2011.1

수록면: 81 - 85 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Although ultrasound is routinely used for pre-operative evaluation of neck nodes in patients with papillary thyroid carcinoma, CT is also widely used. We designed a prediction score of lateral cervical lymph node metastasis (PSLCNM) for improving diagnostic ability of CT. The purpose of our study was to determine the clinical significance of the PSLCNM. Methods: A total of 124 patients with thyroid carcinoma who underwent surgery of lateral cervical lymph node dissection after pre-operative CT evaluation were enrolled in this study. We retrospectively evaluated the diagnostic ability between CT findings by one radiologist and PSLCNM for prediction of lateral lymph node metastasis. Results: In terms of predicting lateral cervical node metastasis, the positive predictive value of CT findings of indeterminate, suspicious, or metastatic nodes were 37.5% (21/56), 68.3% (28/41), 85.7% (18/21). Those of 1, 2, 3, 4 in sum of PSLCNM were 34% (16/47), 60% (30/50), 91% (10/11), 100% (10/10). Conclusion: Prediction of lateral cervical node metastasis using PSLCNM showed a better result than conventional CT findings and could decrease unnecessary surgical procedures and postoperative complications in the surgery of thyroid cancer. (Korean J Endocrine Surg 2011;11:81-85)

#갑상선 암 #측경부 림프절 전이 #양성예측도 #전산화 단층촬영 #Thyroid cancer #Lateral cervical lymph node metastasis #Positive predictive value #Computed tomography

참고문헌 (20)

참고문헌 신청

Ahn JE / 2008 / Diagnostic accuracy of CT and ultrasonography for evaluat ing metastatic cervical lymph nodes in patients with thyroid cancer / World J Surg 32 : 1552 ~ 1558

Chung YS / 2009 / Lateral lymph node metastasis in papillary thyroid carcinoma: results of therapeutic lymph node dissection / Tyroid 19 : 241 ~ 246

Gimm O / 1998 / Pattern of lymph node metastases in papillary thyroid carcinoma / Br J Surg 85 : 252 ~ 254

Harwood J / 1978 / Significance of lymph node metastasis in differentiated thyroid cancer / Am J Surg 136 : 107 ~ 112

Hassanain M / 2010 / Conservative management of well- differentiated thyroid cancer / Can J Surg 53 : 109 ~ 118