Clinical Evaluation of Recurred Thyroid Cancer.
- Author:
Jung Hyun CHOI
1
;
Jun Sik KIM
;
Ju Sub PARK
Author Information
1. Department of Surgery, Kwangju Christian Hospital.
- Publication Type:Original Article
- Keywords:
Thyroid cancer;
Recurrence;
Prognostic factors
- MeSH:
Endocrine Glands;
Humans;
Incidence;
Neoplasm Metastasis;
Recurrence;
Retrospective Studies;
Surgical Procedures, Operative;
Thyroid Gland*;
Thyroid Neoplasms*;
Thyroidectomy
- From:Journal of the Korean Surgical Society
1999;57(5):676-683
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Thyroid cancer is the most common tumor with a endocrine gland origin, and it has a gradually increasing incidence rate. An operative procedure is useful to obtain good results for this disease. Howevers, the selection of operation method remains controversial. Thus, we reviewed the variable prognostic factors which influence thyroid cancer recurrence in order to determine the treatment methods which reduce the recurrence rate. METHODS: We retrospectively reviewed the cases of 383 thyroid cancer patients who had received operations from January 1988 to December 1993. The review looked at age, sex, operation methods, lymph-node metastasis, histologic types, mass size and capsular invasions, and the correlations between these factors and recurrence were analyzed by using Chi-square and SAS trend tests. Complications which developed after various operation methods were also reviewed. RESULTS: Thyroid cancer recurred in 33 (8.6%) patients. Age, sex, lymph-node metastasis, histologic types and capsular invasions did not influence the cancer recurrence rate significantly. However, mass size and operation method were potential factors for recurrence. CONCLUSIONS: If thyroid cancer is diagnosed, a total thyroidectomy with lymph-node dissection is the best method for reducing the cancer recurrence rate. By careful management, complications can be prevented after a total thyroidectomy.
