Papillary and follicular thyroid carcinoma: the treatment results of 357 patients at the National Kyushu Cancer Centre of Japan

During the period from April 1974 to March 1993, 357 patients received surgical treatment for papillary and follicular carcinoma of the thyroid gland at the Department of Head and Neck Surgery of National Kyushu Cancer Centre, Japan. In this paper, we review the various clinico-pathological features...

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Bibliographic Details
Published in:Journal of laryngology and otology 1996-07, Vol.110 (7), p.657-662
Main Authors: Yasumoto, Kimimasa, Miyagi, Chisato, Nakashima, Tadashi, Baba, Hideo, Katsuta, Yasaburoh
Format: Article
Language:English
Subjects:
Adenocarcinoma, Follicular - pathology
Adenocarcinoma, Follicular - secondary
Adenocarcinoma, Follicular - surgery
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma
Carcinoma, Papillary - pathology
Carcinoma, Papillary - secondary
Carcinoma, Papillary - surgery
Child
Endocrinopathies
Female
follicular
Humans
Lymph Node Excision
Lymphatic Metastasis
Main Articles
Male
Malignant tumors
Medical sciences
Middle Aged
Neoplasm Invasiveness
papillary
Prognosis
Retrospective Studies
Risk Factors
Sex Distribution
Survival Rate
Thyroid neoplasms
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroid. Thyroid axis (diseases)
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Summary:During the period from April 1974 to March 1993, 357 patients received surgical treatment for papillary and follicular carcinoma of the thyroid gland at the Department of Head and Neck Surgery of National Kyushu Cancer Centre, Japan. In this paper, we review the various clinico-pathological features of these patients and analyse their influence on patient survival. While the majority of the patients' ages ranged from the third through seventh decade, only the patients older than 40 years old died. In papillary carcinomas, there was a statistically significant difference in the survival rate between younger (less than 45 years old) and older (45 years of age or older) patients. The rate of patients who died of thyroid cancer also increased in the cases with extra-thyroidal tumour invasion, and metastasis to distant organs. A multivariate analysis also showed that the age, extrathyroidal invasion and distant metastasis are significant prognostic factors. However, sex, histology and lymph node metastasis were not prognostic factors for survival.
ISSN:0022-2151
1748-5460
DOI:10.1017/S002221510013453X