The importance of tumor size in differentiated thyroid carcinomas.
Objective: We aimed to assess the correlation of tumor size with other risk parameters in differentiated thyroid carcinomas. Material and Methods: Data of patients diagnosed with thyroid carcinoma, underwent bilateral total/near total thyroidectomy and treated with high doses of 131I were examined r...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 3; pp. 733 - 739 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Turkiye Klinikleri
Jun2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104446205&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104446205 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Jun2012 vid: 32 iid: 3 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104446205 104446205 2011551583 10.5336/medsci.2011-26251 104446205 ppf: 733 ppct: 6 formats: fmt: @attributes: type: P tig: atl: The importance of tumor size in differentiated thyroid carcinomas. aug: au: Hasbek, Zekiye Turgut, Bülent Erselcan, Taner Börksüz, Mehmet Fatih Ymuk, Fadime sug: subj: Thyroid Neoplasms Physiopathology Female Human Male Middle Age Thyroid Neoplasms Prognosis Middle Aged: 45-64 years Female Male ab: Objective: We aimed to assess the correlation of tumor size with other risk parameters in differentiated thyroid carcinomas. Material and Methods: Data of patients diagnosed with thyroid carcinoma, underwent bilateral total/near total thyroidectomy and treated with high doses of 131I were examined retrospectively. In patients with tumor size </=1 cm and >1 cm, the correlation between the tumor size and histopathologic classification, gender, age, multifocality and lymph-node was assessed. Results: The study included 285 patients; 237 (83.2%) were female, 48 (16.8%) were male. Two hundred and forty five patients (86%) had papillary carcinoma. The tumor was </=1 cm in 6out of 23 male cases with a single focus (26.1%) and in 5 out of 14 male patients with multiple foic (35.7%). In those with tumor </=1 cm multifocality rate was higher. In 32 out of 97 (33%) patients with tumor size </=1 cm the tumor was multifocal, while in 46 out of 116 (39.7%) with tumor >1 cm there was uptake in many foci. For multifocality there was no significant difference for tumor size </=1 cm and >1 cm (p=0.31). Of 65 patients aged >/=45 with a single focus, tumor size was </=1 cm in 37 (56.9%), whereas in 21 out of 32 (65.6%) with multifocality, the tumor was </=1 cm. In the patient group aged >/= 45 the rate of multifocality was higher in those with tumor size </=1 cm than those with tumors >1 cm. Conclusion: Although in patients with tumor size </=1 cm and with no risk factor, lobectomy and isthmectomy is adequate and ablation therapy is not recommended, due to the high rate of multifocality, we suggest that total thyroidectomy and ablation therapy may be useful. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
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