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Clinical features of bone metastases resulting from thyroid cancer: A review of 28 patients over a 20-year period

Authors
 Mi Young DO  ;  Yumie RHEE  ;  Dae Jung KIM  ;  Chul Sik KIM  ;  Kee Hyun NAM  ;  Chul Woo AHN  ;  Bong Soo CHA  ;  Kyung Rae KIM  ;  Hyun Chul LEE  ;  Cheong Soo PARK  ;  Sung Kil LIM 
Citation
 ENDOCRINE JOURNAL, Vol.52(6) : 701-707, 2005 
Journal Title
 ENDOCRINE JOURNAL 
ISSN
 0918-8959 
Issue Date
2005
MeSH
thyroid cancer ; bone metastasis ; synchronous ; metachronous
Keywords
thyroid cancer ; bone metastasis ; synchronous ; metachronous
Abstract
Bone is the second most frequent site of metastasis resulting from thyroid cancer. Many studies have investigated clinical features and prognostic factors of distant metastases stemming from thyroid cancer in Western countries. The purpose of this study was to review clinical characteristics of Korean patients with bone metastasis originating from thyroid cancer. Between January 1985 and August 2004, 28 patients with thyroid cancer were diagnosed with bone metastases at the Yonsei Severance Hospital in Seoul, Korea. Their clinical characteristics were analyzed retrospectively. Incidence of bone metastasis from follicular thyroid cancer was 6.8% (9 of 132 patients), and 0.4% (13 of 3,154 patients) from papillary thyroid cancer, with an odds ratio of 17.67 (95% confidence interval; 7.41-42). Twelve patients had no symptoms of bone metastasis. Overall mean number of metastasis sites was 2.6 +/- 1.9, and 12 patients had a solitary bone metastasis. Survival rates between the synchronous and metachronous metastasis groups were not significantly different, and the number of metastasis sites did not affect survival. However, the survival of patients that underwent curative treatment was longer than those with palliation (P = 0.0317). In Korea, the overall incidence of bone metastasis resulting from thyroid cancer was less than our expectation. Many patients were asymptomatic, and had a tendency of undergoing less aggressive or palliative treatment, even though the long-term survival of distant metastasis resulting from thyroid cancer with active treatment is relatively good. Further studies of the prognostic factors and effectiveness of various treatments of these patients are needed to enhance survival.
Files in This Item:
T200500779.pdf Download
DOI
10.1507/endocrj.52.701
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Rae(김경래)
Kim, Chul Sik(김철식)
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Do, Mi Yeong(도미영)
Park, Cheong Soo(박정수)
Ahn, Chul Woo(안철우) ORCID logo https://orcid.org/0000-0003-3733-7486
Rhee, Yumie(이유미) ORCID logo https://orcid.org/0000-0003-4227-5638
Lee, Hyun Chul(이현철)
Lim, Sung Kil(임승길)
Cha, Bong Soo(차봉수) ORCID logo https://orcid.org/0000-0003-0542-2854
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150622
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