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Can increased tumoral vascularity be a quantitative predicting factor of lymph node metastasis in papillary thyroid microcarcinoma?

DC Field Value Language
dc.contributor.author곽진영-
dc.contributor.author김은경-
dc.contributor.author문희정-
dc.contributor.author신현주-
dc.contributor.author윤정현-
dc.contributor.author한경화-
dc.date.accessioned2015-01-06T17:14:58Z-
dc.date.available2015-01-06T17:14:58Z-
dc.date.issued2014-
dc.identifier.issn1355-008X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/99619-
dc.description.abstractThe aim of the present study was to evaluate the clinical implications of the vascular index (VI) as a predicting factor for central and lateral lymph node metastasis (LNM) in patients with papillary thyroid microcarcinoma (PTMC). From January 2011 to October 2011, 588 patients (495 females, 93 males) who were diagnosed with PTMC were included. Clinicopathologic characteristics of patients and ultrasound (US) features of the lesions including VI were evaluated retrospectively. The VI was measured with QLAB 7.0 quantification software using preoperative Doppler US images. Univariate and multivariate analysis were used to assess predictive factors of LNM. From 588 patients, 140 patients (23.8 %) had central LNM and 26 patients (4.4 %) had lateral LNM on pathologic results. The presence of lateral LNM [odds ratio (OR) 5.46; 95 % confidence interval (CI) = 2.19–13.64], bilaterality (OR 2.16; 95 % CI 1.17–4.01), and increased tumor size (OR 1.15; 95 % CI 1.04–1.28) were significant independent factors for predicting central LNM. The presence of central LNM (OR 5.58; 95 % CI 2.22–14.04), upper third location of malignancy (OR 2.50; 95 % CI 1.01–6.21), and tumor size (OR 1.34; 95 % CI 1.03–1.73) were significant independent factors for predicting lateral LNM. However, the VI was not a significant predicting factor for both central and lateral LNM. Therefore, the VI of PTMC may not be useful for predicting central and lateral LNM in patients with PTMC.-
dc.description.statementOfResponsibilityopen-
dc.format.extent273~282-
dc.relation.isPartOfENDOCRINE-
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/blood supply*-
dc.subject.MESHCarcinoma/diagnosis*-
dc.subject.MESHCarcinoma/pathology*-
dc.subject.MESHCarcinoma/surgery-
dc.subject.MESHCarcinoma, Papillary-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLymphatic Metastasis-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeovascularization, Pathologic/diagnosis*-
dc.subject.MESHPrognosis-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHThyroid Neoplasms/blood supply*-
dc.subject.MESHThyroid Neoplasms/diagnosis*-
dc.subject.MESHThyroid Neoplasms/pathology*-
dc.subject.MESHThyroid Neoplasms/surgery-
dc.subject.MESHThyroidectomy-
dc.subject.MESHTumor Burden-
dc.subject.MESHYoung Adult-
dc.titleCan increased tumoral vascularity be a quantitative predicting factor of lymph node metastasis in papillary thyroid microcarcinoma?-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorHyun Joo Shin-
dc.contributor.googleauthorEun-Kyung Kim-
dc.contributor.googleauthorHee Jung Moon-
dc.contributor.googleauthorJung Hyun Yoon-
dc.contributor.googleauthorKyung Hwa Han-
dc.contributor.googleauthorJin Young Kwak-
dc.identifier.doi10.1007/s12020-013-0131-8-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00182-
dc.contributor.localIdA00801-
dc.contributor.localIdA01397-
dc.contributor.localIdA02178-
dc.contributor.localIdA02595-
dc.contributor.localIdA04267-
dc.relation.journalcodeJ00768-
dc.identifier.eissn1559-0100-
dc.identifier.pmid24366642-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs12020-013-0131-8-
dc.subject.keywordThyroid-
dc.subject.keywordUltrasound-
dc.subject.keywordPapillary thyroid microcarcinoma-
dc.subject.keywordVascularity-
dc.contributor.alternativeNameKwak, Jin Young-
dc.contributor.alternativeNameKim, Eun Kyung-
dc.contributor.alternativeNameMoon, Heui Jeong-
dc.contributor.alternativeNameShin, Hyun Joo-
dc.contributor.alternativeNameYoon, Jung Hyun-
dc.contributor.alternativeNameHan, Kyung Hwa-
dc.contributor.affiliatedAuthorKwak, Jin Young-
dc.contributor.affiliatedAuthorKim, Eun-Kyung-
dc.contributor.affiliatedAuthorMoon, Heui Jeong-
dc.contributor.affiliatedAuthorShin, Hyun Joo-
dc.contributor.affiliatedAuthorYoon, Jung Hyun-
dc.contributor.affiliatedAuthorHan, Kyung Hwa-
dc.rights.accessRightsfree-
dc.citation.volume47-
dc.citation.number1-
dc.citation.startPage273-
dc.citation.endPage282-
dc.identifier.bibliographicCitationENDOCRINE, Vol.47(1) : 273-282, 2014-
dc.identifier.rimsid38957-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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