Association between Tumor Size and Bilateral Involvement in Papillary Thyroid Carcinoma.

IF 1.7 Q4 ENDOCRINOLOGY & METABOLISM Journal of Thyroid Research Pub Date : 2016-01-01 Epub Date: 2016-04-24 DOI:10.1155/2016/8470252
Suna Erkilic, Fatih Celenk, Zehra Bozdag
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Abstract

Background. Tumor multifocality and bilaterality of papillary thyroid carcinoma (PTC) are important factors when selecting the most appropriate surgical procedure. The aim of this study was to assess the bilaterality rate in PTC and the relationship between the tumor size and bilaterality. Materials and Methods. Thyroidectomy specimens with a diagnosis of PTC were retrospectively reviewed in the Pathology Department of a tertiary care medical center. Specimens were divided into three groups according to the size of the primary and contralateral tumor foci. Tumors less than or equal to 1 cm in each lobe were included in group 1. Group 2 consisted of tumors greater than 1 cm in one lobe and less than 1 cm in the other lobe. Tumors greater than 1 cm in each lobe were included in group 3. Results. We identified 868 total thyroidectomy specimens with a diagnosis of PTC between 2001 and 2011. Of these cases, both thyroid lobes were involved in 262 cases (32%). There were 109 (42%), 121 (46%), and 32 cases (12%) in group 1, group 2, and group 3, respectively. Conclusion. Bilaterality is frequent in PTC and is not related to tumor size. Accordingly, the high frequency of bilateral disease in PTC should be kept in mind when determining the extent of the surgical procedure.

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甲状腺乳头状癌肿瘤大小与双侧受累的关系。
背景。甲状腺乳头状癌(PTC)的多灶性和双侧性是选择最合适的手术方式的重要因素。本研究的目的是评估PTC的双侧发生率以及肿瘤大小与双侧的关系。材料与方法。我们在一家三级医疗中心的病理科回顾了诊断为PTC的甲状腺切除术标本。根据原发和对侧肿瘤病灶大小,将标本分为三组。每叶小于或等于1cm的肿瘤为1组。第二组为一侧肺叶肿瘤大于1cm,另一侧肺叶肿瘤小于1cm。每叶大于1cm的肿瘤为第三组。结果。我们在2001年至2011年间鉴定了868例诊断为PTC的全甲状腺切除术标本。其中双侧甲状腺叶累及262例(32%)。1组109例(42%),2组121例(46%),3组32例(12%)。结论。双侧病变在PTC中很常见,与肿瘤大小无关。因此,在确定手术范围时,应牢记PTC双侧疾病的高频率。
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来源期刊
Journal of Thyroid Research
Journal of Thyroid Research ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
10
审稿时长
17 weeks
期刊最新文献
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