수술을 시행한 갑상선 우연종의 임상적 고찰

• 영문명: A Clinical Analysis of Surgical Treated Thyroid Incidentaloma
• 발행기관: 대한내분비외과학회
• 저자명: 이창호 윤현조 정성후 Chang Ho Lee M.D. Hyun Jo Youn M.D. and Sung Hoo Jung M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』6권1호, 12~16쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

Purpose: An incidentaloma is a tumor that is found incidentally without clinical symptoms. This study was carried out to evaluate the clinicopathologic characteristics and to offer the optimal diagnostic and therapeutic strategies for surgical treated thyroid incidentaloma. Methods: We reviewed the medical records of 139 consecutive patients who were operated on for incidentally detected thyroid nodules from January 2000 to June 2005, and we retrospectively investigated the clinicopathologic characteristics, preoperative diagnostic methods, operative methods and histologic diagnosis of surgical treated thyroid incidentaloma. Results: The male-to-female ratio was 1：9.7 (13：126) and the mean age was 45.8 years. The mean tumor size was 1.27 cm and 122 cases (87.8%) were 1.5 cm or less in diameter. 138 patients underwent ultrasonography and 34 patients (24.6%) were diagnosed with malignant nodules. US-guided fine needle aspiration cytology (FNAC) was performed in 118 patients and 42 patients (35.6%) were diagnosed with papillary carcinoma. According to postoperative histologic diagnosis, 70 cases (50.3%) were adenomatous goiter, 14 cases (10.2%) were follicular adenoma and 54 cases (38.8%) were papillary carcinoma. Among the papillary carcinoma, capsular invasion were presented in 3 cases (5.6%) and lymph node metastasis were presented in 5 cases (9.3%). According to the TNM staging, 33 cases (61.1%) were stage I, 16 cases (29.6%) were stage II, and 5 cases (9.3%) were stage? By the AMES scoring system, 2 cases (3.7%) were in the high risk group.Conclusion: Although most patients with incidental thyroid carcinomas were low stage, their clinicopathologic characteristics were similar to those of general thyroid carcinoma. Therefore, high risk patients with thyroid incidentaloma should have active diagnostic methods performed such as FNAC for confirming the presence of carcinoma. (Korean J Endocrine Surg 2006;6:12-16)

키워드

갑상선 우연종, 임상병리학적 특징, 세침흡인세포검사,Thyroid incidentaloma, Clinicopathologic characteristics, Fine needle aspiration cytology