کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5733466 1612191 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
New England surgical society articlePrevalence of Contralateral Tumors in Patients with Follicular Variant of Papillary Thyroid Cancer
ترجمه فارسی عنوان
مقاله پژوهشی جراحی جدید نیوانگلند بررسی فراوانی تومورهای متعاقب جانبی در بیماران مبتلا به سرطان تیروئید پاپیلاری فولیکولار
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThyroid lobectomy alone is being performed increasingly for patients with encapsulated follicular variant of papillary thyroid carcinoma (fvPTC). However, the prevalence of contralateral disease in these patients is unknown. We investigated the presence of synchronous disease in fvPTC to improve decision making about the extent of surgical resection and need for surveillance.Study DesignWe performed a retrospective review of patients who underwent thyroid surgery from October 2009 to February 2013 with a diagnosis of fvPTC as their primary lesion. We collected information on patient demographics, nodule size, multifocality, fine-needle aspiration results, lymphovascular invasion, extrathyroidal extension, and lymph node metastasis. Tumors were divided into noninvasive and invasive/infiltrative fvPTC categories. Characteristics of solitary and bilateral fvPTC were compared.ResultsWe identified 124 patients with final pathology demonstrating fvPTC. The most common fine-needle aspiration diagnosis was “suspicious for malignancy” (n = 53). Sixty-five contralateral tumors were identified in 44 of 124 patients (35.5%) and included fvPTC (n = 40), classical PTC (n = 22), tall cell PTC (n = 2), and follicular carcinoma (n = 1). Fifty contralateral tumors were 1 to 5 mm, 10 measured 6 to 9 mm, and 5 were ≥10 mm. Contralateral disease correlated significantly with lymphovascular invasion (p = 0.037) and larger primary lesions (p = 0.020). There was no significant difference noted in extrathyroidal extension or lymph node metastasis. Both noninvasive and invasive/infiltrative fvPTC demonstrated similar rates of contralateral disease.ConclusionsBilateral disease is common in fvPTC, primarily in the form of papillary microcarcinomas. Future monitoring of the contralateral lobe should be discussed with fvPTC patients who do not undergo completion thyroidectomy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American College of Surgeons - Volume 224, Issue 6, June 2017, Pages 1021-1027
نویسندگان
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