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KMID : 0986520090090040211
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Korean Journal of Endoscrine Surgery
2009 Volume.9 No. 4 p.211 ~ p.213
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Thyroid Carcinoma in Patients Less Than 20 Years of Age at Diagnosis: Clinicopathologic Characteristics
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Jung Phil-Young
Han A-Ri
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Abstract
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Purpose: This study determined the clinicopathologic characteristics in young patients with thyroid carcinoma.
Methods: We retrospectively reviewed the records of 39 patients who were ＜20 years of age when diagnosed between January 1985 and December 2008.
Results: The mean age was 17.28 years (range, 4∼20 years). There were 33 females and 6 males, with a mean follow-up period of 110 months (range, 1∼263 months). The initial surgery consisted of total thyroidectomy in 29 patients (74%), and lobectomy and isthmectomy in 10 patients (25%). The mean size of the tumors was 2.56 cm (range 0.4∼7 cm), and 31 (79%) of 39 patients had perithyroidal tissue invasion. Papillary and follicular carcinoma was reported in 31 (79%) and 6 patients (15%), respectively. Three patients had a recurrence and no patients had progression of metastasis at the time of diagnosis.
Conclusion: Further collaborative studies are needed to refine the surgical approach, particularly the extent of lymph-node dissection, radioactive iodine dosing, and clinical approach.
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KEYWORD
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Thyroid carcinoma, Young patients, Clinicopathologic characteristics
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