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On-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients
DC Field | Value | Language |
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dc.contributor.author | 김법우 | - |
dc.contributor.author | 박정수 | - |
dc.contributor.author | 이용상 | - |
dc.contributor.author | 장항석 | - |
dc.date.accessioned | 2014-12-18T09:23:31Z | - |
dc.date.available | 2014-12-18T09:23:31Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 2233-7903 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/88083 | - |
dc.description.abstract | Purpose 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.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | On-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Kuk-Jin Kim | - |
dc.contributor.googleauthor | Bup-Woo Kim | - |
dc.contributor.googleauthor | Yong Sang Lee | - |
dc.contributor.googleauthor | Hang-Seok Chang | - |
dc.contributor.googleauthor | Cheong Soo Park | - |
dc.identifier.doi | 10.4174/jkss.2013.85.3.104 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01646 | - |
dc.contributor.localId | A00491 | - |
dc.contributor.localId | A02978 | - |
dc.contributor.localId | A03488 | - |
dc.relation.journalcode | J01892 | - |
dc.identifier.eissn | 2093-0488 | - |
dc.identifier.pmid | 24020018 | - |
dc.subject.keyword | Impalpable nodal recurrences | - |
dc.subject.keyword | Localizationn | - |
dc.subject.keyword | On-site ultrasound | - |
dc.subject.keyword | Papillary thyroid carcinoma | - |
dc.contributor.alternativeName | Kim, Bup Woo | - |
dc.contributor.alternativeName | Park, Cheong Soo | - |
dc.contributor.alternativeName | Lee, Yong Sang | - |
dc.contributor.alternativeName | Chang, Hang Seok | - |
dc.contributor.affiliatedAuthor | Park, Cheong Soo | - |
dc.contributor.affiliatedAuthor | Kim, Bup Woo | - |
dc.contributor.affiliatedAuthor | Lee, Yong Sang | - |
dc.contributor.affiliatedAuthor | Chang, Hang Seok | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 85 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 104 | - |
dc.citation.endPage | 108 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.85(3) : 104-108, 2013 | - |
dc.identifier.rimsid | 33038 | - |
dc.type.rims | ART | - |
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