分化型甲状腺癌症患者生存率的预后因素

Moulod Abbaszadeh, Ashkan Tangestani, N. Jokar, M. Ravanbod, Mohammadreza Kalantarhormozi
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摘要

背景:甲状腺癌是内分泌系统肿瘤中最常见的恶性肿瘤。近年来,甲状腺癌的增长速度比其他任何恶性肿瘤都要快。甲状腺癌有不同的组织病理类型,其中最常见的是分化型。不同的因素会影响患者的预后。在本研究中,我们探讨了影响这些患者预后的不同因素。材料与方法:34例患者行标准手术,包括甲状腺部分和全切除术,术后4-6周接受131I放射性碘治疗。我们评估了影响患者生存的不同预后因素,包括年龄、性别、任何恶性肿瘤家族史、辐射暴露史、组织病理类型和实验室数据对消融时间的影响,包括血清Tg、血清抗Tg和促甲状腺激素(TSH)水平。结果:共纳入34例患者,其中男性6例(17.6%),女性28例(82.4%),平均年龄40.8±11.6岁。只有血管侵润p值小于0.05具有统计学意义,表明消融成功与该因素相关。结论:本研究表明,在不同的预后因素中,只有血管侵犯与消融成功呈负相关。其他因素与DTC治疗效果无统计学意义
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Prognostic Factors in the Survival Rate of Patients with Differentiated Thyroid Cancer
Background: Thyroid cancer is the most prevalent malignancy of the endocrine systemcancers. Thyroid cancer has increased faster thatn any other malignancy in recent years. Tyroid cancer has different histopathologic types, of which the most common is the differentiated type. Different factors can affect the prognosis of the patients. In this study, we investigated different factors that can affect the prognosis of these patients. Materials and Methods: Thirty-four patients underwent the standard surgery including partial and total thyroidectomy and subsequently received 131I radioiodine 4-6 weeks after surgery. We evaluated the effects of different prognostic factors which can effect on the patients’ survival including age, gender, family history of any malignancies, history of radiation exposure, histopathological type and lab data on the ablation time including serum Tg, serum Anti Tg and thyroid-stimulating hormone (TSH) levels. Results: A total of 34 patients, including 6 males (17.6%) and 28 (82.4%) females with a mean age of 40.8±11.6 years participated in this research. Only vascular invasion had statistically significant P-values less than 0.05, which shows the correlation between ablation success and this factor. Conclusion: This study demonstrated that among different prognostic factors, only vascular invasion had a reverse relationship with ablation success. Other factors did not show statistically significant relashionships with treatment efficiency of DTC
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