|
KMID : 0378019790220050093
|
|
New Medical Journal
1979 Volume.22 No. 5 p.93 ~ p.101
|
|
|
Follow-up Study of Postoperative Survival in Patients with Thyroid Carcinoma Young
|
|
|
|
|
Abstract
|
|
|
Although the incidence of the thyroid carcinoma is relatively rare, out patient clinician must always be considered the possibilities of cancer when a palpable abnormaity of the thyroid is present, especially it. is stony hard, and with fixation to surrounding structures, vocal cord paralysis, palpable lymph-node in the .neck..
In treatment of the thyroid cancer, it has been performed various therapeutic modalities including surgery, radioiodide; supervoltage X-ray radiation, hormonal supression, and .chemotherapy and there is general agreement that surgical excision is most effective primary treatment for carcinoma of the thyroid gland. In surgery, however, there is controversy over the years not only concerning the extent of surgical resection neccessary to control. the disease, but also concerning the indications for and the extent of cervical node dissection.
Authors tried to review clinical data in 242 patients who underwent surgery due to pathologically confirmed thyroid cancer at Dept. of Surgery, St. Mary´s Hospital during. the period of 10 years (1969-1978). And 60 patients of them were traced to evaluate.postoperative codition.
The obtained results were as follows;
1) The thyroid cancer was prevalent in 3rd to 4th decades-of life (51_3%).. Male to female ratio was 1:3. The youngest was 15 year old and the oldest was 75 years old.
2) Most of all patients visited hospital lately, less than 1 year was 28. 1%, over the 10 years was 7.4%.
3) The most of all patients complained palpable mass on the anterior neck (subjective: 83.5%, objective: 86.8%).
4) Pathologocally, papillary adenocarcinoma was prevalent (73.6%) and follicular type was 24.8%, undifferentiated was 1.7 6 but there was no medullary carcinoma.
5) Site of predilection was right lobe (42. 1,°0) compared to left (28. 1%). The bilaterality was noted in 9.9% of cases.
6) In 66.9% of the cases, we performed subtotal thyroidectomy and in 5.8%, total thyroidectomy. Radical or. modified radical neck dissection was done in 7.4%, 14. 1% of cases respectively.
7) Hematoma was the most frequent complication after sugery (5. Q%). And there was also hypoparathyroidism (2.5%) and myxedema (3. 3%).
8) Of the 242 patients, only 24.8% of cases patient traced was survived except four death (su v i aI rate was t 93.3%). The most of patients, survivors over 5 years after surgery was 50,°0, papillary adenocarcinoma was 80%, right lobe tumor was 53.4°0, positive metastatic lymph node ws 36.7% respectively
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|