유두상 갑상선암에서 양측성과 다른 임상병리학적 인자들과의 연관성에 대한 분석

• 영문명: Analysis of the Relationship between Bilaterality and Other Clinicopathological Factors in Papillary Thyroid Carcinoma
• 발행기관: 대한내분비외과학회
• 저자명: 신일용 이관주 김형래 김세준 김정구 이동호 안창준 이상철 Il Yong Shin M.D. Kwan Ju Lee M.D. Hyung Rae Kim M.D. Se Jun Kim M.D. Jeong Goo Kim M.D. Dong Ho Lee M.D. Chang Joon Ahn M.D. and Sang Chul Lee M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』8권2호, 123~127쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.06.30

영문 초록

Purpose: The extent of the initial surgical treatment for patients with papillary thyroid carcinoma (PTC) is controversial. Many surgeons think thattotal thyroidectomy is the most optimal treatment for PTC because of its potential bilaterality. Therefore, bilaterality is an important factor for determining the extent of surgical resection. The aim of this retrospective study is to analyze the relationship between tumor bilaterality and the other clinicopathological factors. Methods: We conducted a retrospective analysis of 140 patients with PTC and who underwent total thyroidectomy with central lymph node dissection from January to December 2007 at our institution. Results: Among 140 patients, 50 patients (35.7%) had PTC in the bilateral lobes. Of these 50 patients, only 17 patients (34.0%) were operated on under the preoperative diagnosis of bilateral PTC. Two factors, 1) presence of the capsular invasion (P=0.007) and 2) an increase of the tumor size (P=0.023), were statistically correlated with bilaterality. There were no significant associations between bilaterality and the other clinicopathological factors,including age, extrathyroidal invasion and lymph node metastasis. Conclusion: For the surgical care of PTC, bilaterality must always be considered even though the tumor is diagnosed preoperatively as unilateral PTC. Furthermore, thorough preoperative evaluation is mandatory if unilateral lobectomy is regarded as a therapeutic option for PTC patients. (Korean J Endocrine Surg 2008;8:123-127)

키워드

유두상 갑상선암, 양측성, 예후인자,Papillary thyroid carcinoma, Bilaterality, Prognostic factors