학술논문
외과적 치료를 시행한 갑상선 결절의 임상적 고찰
이용수 3
- 영문명
- Clinical Analysis of Surgically Treated Thyroid Nodules
- 발행기관
- 대한두경부종양학회
- 저자명
- 장용근(Yong Keun Chang) 김권천(Kweon Cheon Kim)
- 간행물 정보
- 『대한두경부종양학회지』제15권 제1호, 70~75쪽, 전체 6쪽
- 주제분류
- 의약학 > 종양학
- 파일형태
- 발행일자
- 1999.05.30
4,000원
구매일시로부터 72시간 이내에 다운로드 가능합니다.
이 학술논문 정보는 (주)교보문고와 각 발행기관 사이에 저작물 이용 계약이 체결된 것으로, 교보문고를 통해 제공되고 있습니다.
국문 초록
영문 초록
Objectives: This study was designed to evaluate the methods of diagnosis and treatment of thyroid nodules.
Materials and Methods : We performed a clinical review of patients with thyroid nodules, who were surgically treated at the Department of Surgery, College of Medicine, Chosun University from January 1996 to December 1998.
Results: 1) The patients were divided into two groups; 65 patients(80.2%) with benign nodular disease and 16 patients(19.8%) with malignant disease.
2) The sex distribution showed a preponderance of females with a ratio of 5.2:1 in benign nodular disease and 3:1 in malignant disease. Benign nodules were more prevalent in patients in their 40's as compared to malignant nodules in patients in their 50's and 60's.
3) The most common duration of illness was 3 months, occurring in 45.7% of the total cases.
4) The most prominent symptom and sign was a palpable nodule in the anterior aspect of the neck.
5) The location of the nodule was ; 41 cases in the right lobe, 29 cases in the left lobe, and 11 cases in both lobes.
6) Thyroid scanning of 40 patients revealed cold nodules in 90.6% of benign nodules and in all malignant disease.
7) Fine needle aspiration cytology were performed in 32 cases of the 81 patients. Comparing with postoperative pathological findings, the results were the same in 87.5% of 32 cases.
8) Intra-operative frozen section study was performed in 56 cases of the 81 patients. Comparing with postoperative pathological finding, the results were same in 96.4% of the 56 cases.
9) The histopathological classification revealed that adenomatous goiters were the most common benign disease and papillary carcinomas were the most common malignant disease.
10) The most frequently employed operation for benign nodules and malignant disease was unilateral total lobectomy. When the metastasis was confirmed, lymphadenectomy and radical neck dissection was performed in malignant disease.
11) Important postoperative complications were transient hoarseness, transient hypocalcemia, hypothyroidism, wound bleeding, and hoarseness.
Conclusions: The results of this study suggest that palpable nodules in anterior aspect of neck is revealed cold nodule by thyroid scanning and malignancy by fine needle aspiration cytology, which should be removed surgically. There is no difference in complication and survival rate with type of operation and lymphatic dissection. Therefore, procedure of operation is dependent on the site of nodule and involvement of lymph node.
목차
Abstract
서론
재료 및 방법
결과
고찰
결론
References
키워드
해당간행물 수록 논문
- 갑상선 결절의 Ki67과 p27 발현도에 대한 분석
- 두경부종양 환자에서 경부림프절 전이의 분포에 관한 고찰
- 갑상선수술후의 저칼슘혈증
- 거대한 단발성 측경부 종물로 나타난 전이성 갑상선암 1례
- 외과적 치료를 시행한 갑상선 결절의 임상적 고찰
- 유두상 갑상선암의 수술후 재발예측인자로서 혈청 Thyroid Peroxidase의 의의
- 그레이브스병의 갑상선 절제술후 합병증
- 두경부 골수외 형질세포종의 임상적 고찰
- 편도암의 수술적용 형태에 따른 치료효과
- Waldeyer's Ring 비호치킨 림프종의 병합요법
- 두개내에서 발생하여 두개외로 연장된 설하신경초종 1례
- 갑상선 선종을 동반한 원발성 부갑상선 기능 항진증 1예
- 상악동 편평세포암종의 수술적 치료에 있어서 측두아래오목과 날개구개오목 절제의 의의
- 후두 및 하인두 편평세포암종의 경부 잠재전이율
- 갑상선 암의 판정에 대한 술전 초음파의 의의
- 급성 췌장염으로 발현된 일차성 부갑상선 기능항진증 1예
참고문헌
관련논문
의약학 > 종양학분야 BEST
- 방사선 치료에 내성이 유도된 두경부 편평세포암에 대한 종양살상 헤르페스 바이러스의 유전자 치료 효과
- 식도암에서 근치적 절제술 후 방사선치료의 역할
- 두경부암에서 면역회피 기전과 면역항암제 치료
의약학 > 종양학분야 NEW
- Radiomics in stereotactic body radiotherapy for non-small cell lung cancer: a systematic review and radiomic quality score study
- Evidence-based clinical recommendations for hypofractionated radiotherapy: exploring efficacy and safety - Part 1. Brain and head and neck
- Hypofractionated radiation therapy for head and neck cancers in the era of intensity-modulated radiation therapy
최근 이용한 논문
교보eBook 첫 방문을 환영 합니다!
신규가입 혜택 지급이 완료 되었습니다.
바로 사용 가능한 교보e캐시 1,000원 (유효기간 7일)
지금 바로 교보eBook의 다양한 콘텐츠를 이용해 보세요!