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AIM:To investigate the accuracy of preoperative examinations in follicular type tumors,we re-evaluate results of our operative cases.METHODS:Cases are follicular neoplasms in 36 patients,which are more than 30 mm in diameter and underwent surgery in our hospital in 2005-2006.These cases had been suspected of malignancy on one or more of the preoperative examinations,including ultrasound(US),thallium-technecium(Tl-Tc)scinitigram,computed tomography(CT),or fine needle aspiration biopsy(FNA)examinations.Concern about operative procedure,lobectomy plus sentinel lymph node biopsy(SNB)was performed in all 36 follicular tumors at the first surgery.Because we can diagnose a suspected follicular tumor as carcinoma and can change the operative procedure intra-operatively,when the metastasis of lymph nodes,outside of the thyroid,is found.The operative procedure was changed from lobectomy to total thyroidectomy plus lymph nodes dissection(central component),when the SNB has metastasis.All thirty six cases were obtained to track the prognosis until 2012,for 6-7 years follow up periods.RESULTS:The final pathological results are 3 cases of follicular carcinoma,6 cases of papillary carcinoma,1 case of papillary carcinoma follicular type,1 case of malignant lymphoma,16 cases of follicular adenoma,and 9 cases of adenomatous goiter.The malignant tumor were observed in 11/36(30.6%)cases.All six papillary carcinomas were less than 20 mm,and present with follicular adenoma and adenomatous goiter,which have more than 40 mm diameter.In physical examination,tumor size of 36 cases of follicular neoplasm is more than 30 mm all at the time of surgery.The tumors were palpable somewhat stiff,such as no cystic component in 34 cases.Occasional dyspnea,dysphagia,and cough was accompanied in all 36 cases.The true ratio of correct diagnosis of preoperative US,Tl-Tc scinitigram,CT,and FNA were 17/36(47.2%),16/36(44.4%),24/36(66.7%),21/36(58.3%),respectively.In 11 malignant cases,there was one SNB positive case(one lymph node metastasis in 3 SNB:1/3
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篇名 Operative indications of follicular type tumors,based on Japanese clinical guidelines
来源期刊 世界外科手术杂志 学科 医学
关键词 FOLLICULAR TYPE TUMOR PREOPERATIVE diagnosis OPERATIVE INDICATION Guideline of thyroid TUMOR Prognosis
年,卷(期) 2013,(3) 所属期刊栏目
研究方向 页码范围 41-46
页数 6页 分类号 R
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节点文献
FOLLICULAR
TYPE
TUMOR
PREOPERATIVE
diagnosis
OPERATIVE
INDICATION
Guideline
of
thyroid
TUMOR
Prognosis
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界外科手术杂志
不定期
2219-2832
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
61
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0
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0
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