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Papillary microcarcinoma of the thyroid: predicting factors of lateral neck node metastasis

DC Field Value Language
dc.contributor.author손은주-
dc.contributor.author정웅윤-
dc.contributor.author곽진영-
dc.contributor.author김민정-
dc.contributor.author김은경-
dc.contributor.author남기현-
dc.contributor.author박정수-
dc.date.accessioned2015-04-24T16:28:20Z-
dc.date.available2015-04-24T16:28:20Z-
dc.date.issued2009-
dc.identifier.issn1068-9265-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/103575-
dc.description.abstractBACKGROUND: Preoperative prediction of lateral lymph node metastasis (LNM) is important to prevent recurrence; however, there are few published data in predicting factors of lateral LNM before surgery. The present study investigated the factors affecting LNM in patients with papillary thyroid microcarcinoma (PTMC). METHODS: A retrospective cohort study was conducted with data obtained from 671 patients with PTMC between 2004 and 2006. We reviewed the clinical, ultrasound (US), and pathology records of patients and analyzed the association between lateral LNM and clinical factors, US features of PTMC, and pathologic features. RESULTS: The rate of lateral LNM was 3.7% in 671 PTMCs. We found a statistically significant association between lateral LNM and US features of PTMC (upper pole location, contact of >25% with the adjacent capsule, and presence of calcifications), and pathologic features (central LNM) in multivariate analysis (P < .05). The odds ratios of statistically significant factors were 4.7 (95% confidence interval [95% CI], 1.8-12.6), 10.8 (95% CI, 3.3-34.6), 4.8 (95% CI, 1.6-13.7), and 6.9 (95% CI, 2.4-20) at upper pole location, contact of >25% with the adjacent capsule, presence of calcifications on US, and pathologic central LNM, respectively. CONCLUSIONS: In patients with PTMC, independent factors in predicting lateral LNM were US features of PTMC (upper pole location, >25% contact with the adjacent capsule, and presence of calcifications) and pathologic features (central LNM). When these US features are detected on preoperative US, lateral neck nodes should be meticulously evaluated by a multimodal approach.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1348~1355-
dc.relation.isPartOfANNALS OF SURGICAL ONCOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma, Papillary/diagnostic imaging-
dc.subject.MESHAdenocarcinoma, Papillary/pathology*-
dc.subject.MESHAdenocarcinoma, Papillary/surgery-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCohort Studies-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLymph Node Excision-
dc.subject.MESHLymph Nodes/pathology*-
dc.subject.MESHLymphatic Metastasis-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeck-
dc.subject.MESHNeoplasm Recurrence, Local/prevention & control-
dc.subject.MESHPrognosis-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHThyroid Neoplasms/diagnostic imaging-
dc.subject.MESHThyroid Neoplasms/pathology*-
dc.subject.MESHThyroid Neoplasms/surgery-
dc.subject.MESHUltrasonography-
dc.subject.MESHYoung Adult-
dc.titlePapillary microcarcinoma of the thyroid: predicting factors of lateral neck node metastasis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJin Young Kwak-
dc.contributor.googleauthorEun-Kyung Kim-
dc.contributor.googleauthorMin Jung Kim-
dc.contributor.googleauthorEun Ju Son-
dc.contributor.googleauthorWoong Youn Chung-
dc.contributor.googleauthorCheong Soo Park-
dc.contributor.googleauthorKee-Hyun Nam-
dc.identifier.doi10.1245/s10434-009-0384-x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00473-
dc.contributor.localIdA01646-
dc.contributor.localIdA01988-
dc.contributor.localIdA03674-
dc.contributor.localIdA00182-
dc.contributor.localIdA00801-
dc.contributor.localIdA01245-
dc.relation.journalcodeJ00179-
dc.identifier.eissn1534-4681-
dc.identifier.pmid19224278-
dc.identifier.urlhttp://link.springer.com/article/10.1245%2Fs10434-009-0384-x-
dc.subject.keywordLymph Node Metastasis-
dc.subject.keywordThyroid Nodule-
dc.subject.keywordPapillary Carcinoma-
dc.subject.keywordPapillary Thyroid Cancer-
dc.subject.keywordPole Location-
dc.contributor.alternativeNameSon, Eun Ju-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameKwak, Jin Young-
dc.contributor.alternativeNameKim, Min Jung-
dc.contributor.alternativeNameKim, Eun Kyung-
dc.contributor.alternativeNameNam, Kee Hyun-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.affiliatedAuthorKim, Min Jung-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.contributor.affiliatedAuthorSon, Eun Ju-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorKwak, Jin Young-
dc.contributor.affiliatedAuthorKim, Eun-Kyung-
dc.contributor.affiliatedAuthorNam, Kee Hyun-
dc.citation.volume16-
dc.citation.number5-
dc.citation.startPage1348-
dc.citation.endPage1355-
dc.identifier.bibliographicCitationANNALS OF SURGICAL ONCOLOGY, Vol.16(5) : 1348-1355, 2009-
dc.identifier.rimsid37932-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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