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低分化甲状腺癌:一项机构经验。

Poorly differentiated thyroid carcinoma: An institutional experience.

作者信息

Choi Seok Won, Lee Joon-Hyop, Kim Yun Young, Chung Yoo Seung, Choi Sangtae, Kim Na Rae, Kang Jin Mo, Park Heung Kyu, Chun Yong Soon

机构信息

Department of Surgery, Gachon University Gil Medical Center, Incheon, Korea.

Department of Surgery, Gachon University College of Medicine, Incheon, Korea.

出版信息

Korean J Clin Oncol. 2020 Jun;16(1):25-32. doi: 10.14216/kjco.20005. Epub 2020 Jun 30.

Abstract

PURPOSE

The incidence of poorly differentiated thyroid carcinoma (PDTC) is extremely low among thyroid cancers and there is no standardized treatment guideline for it. In this study, we have analyzed PDTC patients and reviewed their clinicopathological features.

METHODS

Data of PDTC patients from our institution are collected through the electronic medical database. We analyzed them by several parameters such as basic demographics, presenting symptom, preoperative cytology results, associated pathology, surgical results, surgery type, and distant metastasis.

RESULTS

We collected 23 cases in our institution. Apart from two patients who were transferred to another hospital upon diagnosis, all 21 operated cases are analyzed. The parameters we studied were age, sex, presenting symptoms, distant metastasis and pathological features such as tumor size, associated pathology, predominant pattern and so on. We also provided descriptive analyses according to the type of presentation and treatment; patients with distant metastasis, juvenile cancer, and concurrent hyperthyroidism. Furthermore, we provided different cases in which the initial surgical plans differed.

CONCLUSION

We present 21 cases of PDTC patients and clarify their clinicopathological features. Despite some limitations, this study may shed light for future research regarding treatment of PDTC patients.

摘要

目的

低分化甲状腺癌(PDTC)在甲状腺癌中的发病率极低,且尚无标准化的治疗指南。在本研究中,我们分析了PDTC患者并回顾了他们的临床病理特征。

方法

通过电子医疗数据库收集我院PDTC患者的数据。我们通过几个参数对其进行分析,如基本人口统计学、临床表现、术前细胞学结果、相关病理、手术结果、手术类型和远处转移。

结果

我们在我院收集了23例病例。除2例诊断后转至其他医院的患者外,对所有21例手术病例进行了分析。我们研究的参数包括年龄、性别、临床表现、远处转移以及肿瘤大小、相关病理、主要模式等病理特征。我们还根据表现类型和治疗方式进行了描述性分析;包括有远处转移、青少年癌症和并发甲亢的患者。此外,我们还提供了初始手术计划不同的不同病例。

结论

我们展示了21例PDTC患者,并阐明了他们的临床病理特征。尽管存在一些局限性,但本研究可能为未来PDTC患者治疗的研究提供启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2715/9942713/ae3bc116b38d/kjco-16-1-25f1.jpg

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