甲状腺乳头状微癌的调查和治疗-苏格兰地区病例系列和文献综述。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Scottish Medical Journal Pub Date : 2021-11-01 Epub Date: 2021-07-26 DOI:10.1177/00369330211032352
Timothy Davies, William Royce, Robin Crosbie, Richard Townsley
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引用次数: 1

摘要

背景与目的:甲状腺乳头状微癌定义为直径≤1cm的甲状腺乳头状癌。尽管它很流行,但在英国和国际上对甲状腺乳头状微癌患者的调查和管理实践中存在很大差异。本文的主要目的是描述在过去10年的调查和管理在苏格兰卫生委员会的经验。方法与结果:回顾性分析2009年3月至2020年3月甲状腺、甲状腺切除术标本。我们对532例标本进行了回顾,并确定了20例PTMC患者。12例患者偶然发现PTMC。显性结节或放射学上可疑结节的中位U评分- 3,中位Thy评分- 2.5。8例呈侵袭性组织病理学特征。颈部及胸部CT淋巴结病变阳性1例,胸部淋巴结病变阳性0例。结论:在这里,我们报告了英国第一个队列,描述了甲状腺乳头状微癌的放射学调查和治疗。我们的研究结果与最近的一项荟萃分析一致,该分析发现PTMC患者在出现时有4%的淋巴结疾病和0.025%的远处转移。
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Investigation and management of papillary thyroid microcarcinoma - a Scottish regional case series and literature review.

Background and aims: Papillary thyroid microcarcinoma is defined as papillary thyroid cancer with a diameter of ≤1 cm. Despite its prevalence, there is wide variation in practice in the investigation and management of patients with papillary thyroid microcarcinoma throughout the UK and internationally. The primary aim of this paper is to describe the experience of investigation and management in a Scottish health board over the past 10 years.

Methods and results: Retrospective analysis of thyroidectomy and hemithyroidectomy resection samples from March 2009 to March 2020. 532 specimens were reviewed and 20 patients with PTMC were identified. 12 patients had an incidental finding of PTMC. Median U score- 3, Median Thy score- 2.5 for dominant or radiologically suspicious nodules. 8 specimens demonstrated aggressive histopathological features. 1 patient with positive nodal disease in the neck and 0 patients with positive nodal disease in the thorax on CT Neck and Chest.

Conclusion: Here we report the first UK Cohort describing the radiological investigation and management of papillary thyroid microcarcinoma. The results of our study are in accordance with a recent meta-analysis which found 4% nodal disease and 0.025% distant metastasis at time of presentation in patients with PTMC.

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来源期刊
Scottish Medical Journal
Scottish Medical Journal 医学-医学:内科
CiteScore
4.80
自引率
3.70%
发文量
42
审稿时长
>12 weeks
期刊介绍: A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).
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