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Tumor Margin Histology Predicts Tumor Aggressiveness in Papillary Thyroid Carcinoma: A Study of 514 Consecutive Patients
Journal of Korean Medical Science ; : 346-351, 2011.
Article in English | WPRIM | ID: wpr-52141
ABSTRACT
Histologic patterns at tumor margins may be related to prognosis in several malignancies. We investigated tumor aggressiveness with respect to tumor margin histology in patients with papillary thyroid carcinoma (PTC). Five hundred fourteen consecutive patients who underwent surgery for primary PTC between January and July 2009 were assigned to two groups, one with an infiltrative pattern (I-type, n = 347) at tumor margins and one with an expanding pattern (E-type, n = 167). Tumor aggressiveness was assessed by analyzing relationships between these patterns and known prognostic factors. The analysis showed that unfavorable prognostic factors such as tumor multiplicity (P = 0.002), extrathyroidal extension (P < 0.001), lateral neck lymph node metastasis (P < 0.001) and advanced TNM stage (P = 0.001) were significantly more prevalent in patients with I-type PTC than in those with the E-type. Central neck node metastases were more prevalent without statistical significance in the I-type patients (P = 0.376). Tumor margin histology was not related to gender or tumor size. These results suggest that histologic patterns at tumor margins predict aggressiveness in PTC.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prognosis / Thyroid Neoplasms / Cell Proliferation / Lymphatic Metastasis / Neoplasm Invasiveness / Neoplasm Staging Type of study: Prognostic study Limits: Adult / Female / Humans / Male Language: English Journal: Journal of Korean Medical Science Year: 2011 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prognosis / Thyroid Neoplasms / Cell Proliferation / Lymphatic Metastasis / Neoplasm Invasiveness / Neoplasm Staging Type of study: Prognostic study Limits: Adult / Female / Humans / Male Language: English Journal: Journal of Korean Medical Science Year: 2011 Type: Article