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Papillary carcinoma located in the thyroid isthmus

DC FieldValueLanguage
dc.contributor.author남기헌-
dc.contributor.author박정수-
dc.contributor.author이용상-
dc.contributor.author장항석-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.date.accessioned2015-04-23T16:20:58Z-
dc.date.available2015-04-23T16:20:58Z-
dc.date.issued2010-
dc.identifier.issn0364-2313-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100421-
dc.description.abstractBACKGROUND: The purpose of the present study was to evaluate the clinicopathologic characteristics and short-term outcomes of papillary thyroid carcinomas (PTC) located in the isthmus compared to tumors located in other thyroid regions, and to use those findings to establish a surgical strategy for treating these tumors. PATIENTS AND METHODS: Thyroidectomy was performed in 1,973 thyroid cancer patients in our hospital between January 2006 and December 2007. The patients were analyzed in two groups; group I, patients with tumors located in the isthmus (n = 181) and group II, patients with tumors located in other thyroid regions (n = 1,792). The clinicopathologic characteristics and short-term outcomes were compared between the two groups. RESULTS: The study groups were similar in terms of age and gender ratio. For groups I and II, respectively, the mean primary tumor size was 1.02 cm and 1.13 cm (p = 0.017), capsular invasion frequency was 70.2 and 60.8% (p = 0.008), and multifocality frequency was 48.6 and 39.8% (p = 0.006). In addition, central node involvement was 40.3 and 42.1% (p = 0.350), and lateral node involvement was 9.4 and 18.2% (p = 0.001). At the time of postoperative iodine-131 remnant ablation, 34.3% of group I patients and 38.0% of group II patients showed undetectable serum thyroglobulin concentrations. There were no significant differences in surgical complications between the two groups. CONCLUSIONS: Papillary thyroid carcinomas located in the isthmus was more likely to be associated with multiple foci in bilateral lobes and higher rates of capsular invasions than tumors in other thyroid regions. These findings indicate that total thyroidectomy is an appropriate initial surgical procedure for the isthmic PTC.-
dc.description.statementOfResponsibilityopen-
dc.format.extent36~39-
dc.relation.isPartOfWORLD JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCarcinoma, Papillary/diagnostic imaging-
dc.subject.MESHCarcinoma, Papillary/pathology*-
dc.subject.MESHCarcinoma, Papillary/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Invasiveness-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHThyroidNeoplasms/diagnostic imaging-
dc.subject.MESHThyroidNeoplasms/pathology*-
dc.subject.MESHThyroidNeoplasms/surgery*-
dc.subject.MESHThyroidectomy-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUltrasonography-
dc.titlePapillary carcinoma located in the thyroid isthmus-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorYong Sang Lee-
dc.contributor.googleauthorJong Ju Jeong-
dc.contributor.googleauthorKee-Hyun Nam-
dc.contributor.googleauthorWoong Youn Chung-
dc.contributor.googleauthorHang-Seok Chang-
dc.contributor.googleauthorCheong Soo Park-
dc.identifier.doi10.1007/s00268-009-0298-6-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02978-
dc.contributor.localIdA03488-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.contributor.localIdA01646-
dc.contributor.localIdA01245-
dc.relation.journalcodeJ02802-
dc.identifier.eissn1432-2323-
dc.identifier.pmid20020291-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00268-009-0298-6-
dc.subject.keywordThyroid Cancer-
dc.subject.keywordPapillary Thyroid Carcinoma-
dc.subject.keywordTotal Thyroidectomy-
dc.subject.keywordPapillary Carcinoma-
dc.subject.keywordLateral Neck-
dc.contributor.alternativeNameNam, Ki Heon-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.alternativeNameLee, Yong Sang-
dc.contributor.alternativeNameChang, Hang Seok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.affiliatedAuthorLee, Yong Sang-
dc.contributor.affiliatedAuthorChang, Hang Seok-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.citation.volume34-
dc.citation.number1-
dc.citation.startPage36-
dc.citation.endPage39-
dc.identifier.bibliographicCitationWORLD JOURNAL OF SURGERY, Vol.34(1) : 36-39, 2010-
dc.identifier.rimsid36476-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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