Papillary thyroid carcinoma: prognostic significance of cancer presentation - 18/06/15
Abstract |
Background |
The objective of this study was to evaluate whether the clinical presentation of papillary thyroid carcinoma (PTC) has prognostic significance.
Methods |
Retrospective evaluation was carried out of sequential, primary presentation, >1 cm diameter, PTC cases treated at a single center. PTC cases were grouped into 3 groups: (1) incidental detection by imaging, (2) incidental detection by physical examination, and (3) detection because of complaints related to a thyroid mass. The MACIS (metastasis, age, completeness of resection, invasion, and size) system was used to determine cancer prognosis for each group.
Results |
Of the 168 PTC cases, 28 patients (17%) were in group 1, 60 patients (36%) were in group 2, and 80 patients (47%) were in group 3. Overall, 53% of differentiated thyroid cancers were detected incidentally. The difference in the proportion of patients in each MACIS score groups among the 3 clinical presentation categories, and for each component of the MACIS score, was not statistically significant (P = .36).
Conclusion |
The manner in which PTC initially clinically presents has no relationship with cancer prognosis.
Le texte complet de cet article est disponible en PDF.Keywords : Papillary thyroid carcinoma, Cancer presentation, Cancer prognosticator
Plan
The authors declare no conflicts of interest. |
Vol 210 - N° 2
P. 298-301 - août 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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