190 377

Cited 0 times in

On-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients

DC Field Value Language
dc.contributor.author김법우-
dc.contributor.author박정수-
dc.contributor.author이용상-
dc.contributor.author장항석-
dc.date.accessioned2014-12-18T09:23:31Z-
dc.date.available2014-12-18T09:23:31Z-
dc.date.issued2013-
dc.identifier.issn2233-7903-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/88083-
dc.description.abstractPurpose The cervical lymph nodes are the most common sites of locoregional recurrence in patients with papillary thyroid carcinoma (PTC). Accurate tumor localization is important for the successful removal of impalpable recurrences in the cervical lymph nodes. We evaluated the benefits of ultrasound-guided localization (UGL) performed by a single surgeon on site. Methods Of 53 PTC patients who underwent reoperation for impalpable nodal recurrences, 32 (group 1) were assessed only using preoperative imaging, while 21 (group 2) were additionally evaluated by on-site UGL performed by the operating surgeon. Postoperative outcomes were compared between the two groups. Results Operation times were significantly shorter (P < 0.001) and the mean size of the resected lymph nodes were smaller (P = 0.013) for group 2 patients. More lymph nodes were identified and resected in group 1 (3.56 vs. 3.19), but the rate of positive lymph nodes was significantly higher in group 2 (P < 0.001). There were no differences between the two groups in terms of resection success rate, complication rate, and postoperative hospital stay. During a mean follow-up period of 27.6 months, 52 patients (98.1%) showed no evidence of recurrence on routine ultrasound, and serum thyroglobulin concentrations remained < 1 ng/mL in 49 patients (92.5%). Conclusion On-site UGL performed by the operating surgeon is useful for accurate resection of impalpable nodal recurrences in PTC patients.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF THE KOREAN SURGICAL SOCIETY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleOn-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorKuk-Jin Kim-
dc.contributor.googleauthorBup-Woo Kim-
dc.contributor.googleauthorYong Sang Lee-
dc.contributor.googleauthorHang-Seok Chang-
dc.contributor.googleauthorCheong Soo Park-
dc.identifier.doi10.4174/jkss.2013.85.3.104-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01646-
dc.contributor.localIdA00491-
dc.contributor.localIdA02978-
dc.contributor.localIdA03488-
dc.relation.journalcodeJ01892-
dc.identifier.eissn2093-0488-
dc.identifier.pmid24020018-
dc.subject.keywordImpalpable nodal recurrences-
dc.subject.keywordLocalizationn-
dc.subject.keywordOn-site ultrasound-
dc.subject.keywordPapillary thyroid carcinoma-
dc.contributor.alternativeNameKim, Bup Woo-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.alternativeNameLee, Yong Sang-
dc.contributor.alternativeNameChang, Hang Seok-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.contributor.affiliatedAuthorKim, Bup Woo-
dc.contributor.affiliatedAuthorLee, Yong Sang-
dc.contributor.affiliatedAuthorChang, Hang Seok-
dc.rights.accessRightsfree-
dc.citation.volume85-
dc.citation.number3-
dc.citation.startPage104-
dc.citation.endPage108-
dc.identifier.bibliographicCitationJOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.85(3) : 104-108, 2013-
dc.identifier.rimsid33038-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.