하시모토 갑상선염 유무에 따른 갑상선 유두암의 임상병리학적 분석

강동현; 한선욱; 허성모; 우희두; 김성용

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자료유형: 학술저널

저자정보: 강동현 한선욱 허성모 우희두 김성용

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제13권 제4호

발행연도: 2013.1

수록면: 222 - 226 (5page)

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이 논문의 연구 히스토리 (3)

2014

갑상선 유두암에 있어서 하시모토 갑상선염 유무에 따른 임상병리학적 분석

강동현 외과학 2014.01 학위논문

2013

하시모토 갑상선염 유무에 따른 유두상 갑상선암의 임상병리학적 분석

강동현 , 한선욱 , 김성용 대한임상종양학회 학술대회지 2013.10 학술대회자료

하시모토 갑상선염 유무에 따른 갑상선 유두암의 임상병리학적 분석

강동현 , 한선욱 , 허성모 외 2명 The Journal of Endocrine Surgery 2013.01 학술저널

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Purpose: The causal association between Hashimoto’s thyroiditis (HT) and papillary thyroid cancer (PTC) remains controversial. This research attempted to analyze clinicopathological relationships between HT and PTC, and to determine what influence the former has on the latter.Methods: We retrospectively reviewed 773 patients who underwent thyroid surgery with PTC. These patients were divided into two groups, coexistent HT group and PTC alone group, and the clinicopathologic data were analyzed.Results: Out of 773 patients, the coexistent HT group included 269/773 (34.8%) patients and the control group included 504/773 (65.2%) patients. In comparison of these two groups, there were no significant differences in age, extent of surgery, serum T3, Free T4, number of tumors, multifocality, tumor size, extrathyroidal extension, and lymph node metastasis. In sex, women were at the higher rate in coexistent HT group than in the control group (P=0.008). Serum TSH level was higher in the coexistent HT group (P＜0.001). In addition, using the AMES scoring system, the coexistent HT group showed a significantly higher rate of low risk than the control group (P=0.048). Multivariate analysis showed no significant association between HT and lymph node metastasis (P=0.081, odds ratio= 1.335; 95% CI, 0.965∼1.847).Conclusion: The rate of women and serum TSH level were higher in the coexistent HT group. In addition, the low-risk group showed the higher rate in the case of accompanying HT, and though the HT does not affect the lymph node metastasis but much more researches would be needed on that.

#갑상선 유두암 #하시모토 갑상선염 #임파선 전이 #Papillary thyroid cancer #Hashimoto's thyroiditis #Lymph node metastasis

참고문헌 (22)

참고문헌 신청

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Davies L / 2010 / The increasing incidence of small thyroid cancers: where are the cases coming from? / Laryngoscope 120 : 2446 ~ 2451

Davies L / 2010 / Thyroid cancer survival in the United States: observational data from 1973 to 2005 / Arch Otolaryngol Head Neck Surg 136 : 440 ~ 444

Holm LE / 1985 / Cancer risks in patients with chronic lymphocytic thyroiditis / N Engl J Med 312 : 601 ~ 604