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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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Purpose: The follicular variant of papillary thyroid carcinoma (FVPTC) is the most common variant of papillary thyroid carcinoma (PTC). Preoperative diagnosis of FVPTC is often confused with cPTC, follicular neoplasm (FN), and benign follicular lesion because of the paucity of nuclear changes of PTC and overlapping features with benign and other neoplastic follicular lesions. The aim of this study is to elucidate whether ultrasonography and/or intraoperative frozen section analysis (FSA) have a supplementary role in the diagnosis of FVPTC.

Methods: Fifty-five patients diagnosed with histologically confirmed FVPTC from January 2007 to December 2013 were identified. All patients had undergone either lobectomy with/without completion thyroidectomy or total thyroidectomy. Medical records, final histological reports and sonographic (US) findings were reviewed. All sonographic images, 53 fine needle aspiration cytology (FNAC) slides, and FSA slides for 24 cases were available for reexamination.

Results: Three histologic types of FVPTC were identified: encapsulated (n=39); infiltrative (n=15); and diffuse (n=1). There were two distinct sonographic patterns: FN-type (n=28) and PTC-type (n=27). The encapsulated type is more common in the FN-like pattern, compared to the PTC-like one (85.7% vs. 55.6%, P=0.009). Among the 24 cases in which sonographic images and FNAC and FSA slides were available for review, six cases (25%) were diagnosed as either FN in FNAC and suspicious PTC(R/O PTC)/PTC in FSA or R/O PTC/PTC in FNAC and FN in FSA. Among those 24 cases described above, 13 cases (54.2%) were diagnosed as either FN-type in US and R/O PTC/PTC in FNAC/FSA or PTC-type in US and FN in FNAC/FSA.

Conclusion: It is difficult to make a correct diagnosis of FVPTC before definitive treatment even with US, FNAC and FSA. However the possibility of FVPTC must be considered, especially when diagnoses in US, FNAC and FSA are different and include R/O PTC/PTC and FN in the same case.

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기사명 저자명 페이지 원문 목차
소포변이 갑상선유두암 진단에서 초음파검사와 수술 중 동결절편검사의 역할 = Supplementary Role of Ultrasonography and Intraoperative Frozen Section Analysis in Diagnosis of Follicular Variant of Papillary Thyroid Carcinomas 공병호, 김동주, 이옥준, 박진우 pp.57-63

Factors Influencing Central Neck Lymph Node Metastasis in Patients with Papillary Thyroid Microcarcinoma Young Hun Kim, Yoo Seok Kim, Kweon Cheon Kim pp.64-69

갑상선 유두암 환자의 전절제술 후 부갑상선 기능 저하증의 위험 인자 = Risk Factors of Postoperative Hypocalcemia after Total Thyroidectomy of Papillary Thyroid Carcinoma Patients 성지영, 이초록, 김민지, 김태형, 이슬기, 최정범, 반은정, 강상욱, 이잔디, 정종주, 남기현, 정웅윤, 박정수 pp.70-78

임상적으로 중심구역 림프절 전이가 의심되지 않는 환자에서 중심구역 림프절 절제술의 필요성에 대한 고찰 = Can We Omit Prophylactic Central Lymph Node Dissection in Patients with Clinically LN Negative Papillary Thyroid Microcarcinoma? 공병호, 박진우, 방승욱, 김동주 pp.79-84

Bilateral Vocal Cord Palsy after Thyroidectomy Detected by McGrath Videolaryngoscope Kwangseob Shin, Guie Yong Lee, Hee Jung Baik, Chi Hyo Kim pp.85-88

참고문헌 (11건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Follicular variant of papillary thyroid cancer: encapsulated, nonencapsulated, and diffuse: distinct biologic and clinical entities. 네이버 미소장
2 Navigating the Management of Follicular Variant Papillary Thyroid Carcinoma Subtypes: A Classic PTC Comparison 네이버 미소장
3 Follicular variant of papillary thyroid carcinoma: distinct biologic behavior based on ultrasonographic features. 네이버 미소장
4 Follicular variant of papillary thyroid carcinoma is a unique clinical entity: a population-based study of 10,740 cases. 네이버 미소장
5 Classical and follicular variant of papillary thyroid carcinoma: a comparative study on clinicopathologic features and long-term outcome. 네이버 미소장
6 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. 네이버 미소장
7 Nomenclature Revision for Encapsulated Follicular Variant of Papillary Thyroid Carcinoma: A Paradigm Shift to Reduce Overtreatment of Indolent Tumors. 네이버 미소장
8 Immunohistochemical (IHC) Analysis of Non-Hodgkin's Lymphoma (NHL) Spectrum According to WHO/REAL Classification: A Single Centre Experience from Punjab, India. 네이버 미소장
9 Follicular Variant of Papillary Thyroid Carcinoma: Accuracy of FNA Diagnosis and Implications for Patient Management 네이버 미소장
10 Risk stratification of follicular variant of papillary thyroid carcinoma. 네이버 미소장
11 Follicular variant of papillary thyroid carcinoma 네이버 미소장

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