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Korean Journal of Head & Neck Oncology 2015;31(2):16-20.
Published online November 30, 2015.
Clinical and Pathologic Characteristics of Papillary Thyroid Carcinoma According to the Size of Primary Tumor
Joo Hyung Lee;Hyung-Kyu Kim;Seok-Mo Kim;Ho Jin Chang;Bup-Woo Kim;Yong Sang Lee;Cheong Soo Park;Hang-Seok Chang
갑상선 유두암의 크기에 따른 임상병리학적 특징
이주형;김형규;김석모;장호진;김법우;이용상;박정수;장항석
Abstract
Background and Objectives : In papillary thyroid carcinoma (PTC), multiplicity and central or lateral lymph node metastases significantly affect the recurrence. This study was carried out to evaluate the clinical and histological characteristics of PTC according to the tumor size. Materials and Method : Between January 1, 2009 and December 31, 2014, 12,269 PTC patients underwent thyroid surgery at the Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea. We analyzed pathologic findings and clinical features according to the size of tumor Results : The mean size of tumor was 0.89 ± 0.70cm. The Central and lateral compartment metastases were observed 64.7% and 37.6% on the range that the primary tumor size is 1cm. There was a significant association between the PTC primary tumor size and multiplicity and cervical neck metastasis (p<0.001).
Conclusion
: The PTC primary tumor size for prediction of multiplicity and neck node metastasis can be helpful in optimization of the surgical extent for each patient.
Key Words: Thyroid Papillary Carcinoma, SizeㆍCentral, Lateral, Metastasis, 전이


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