Pregled bibliografske jedinice broj: 175334
Ultrasound and guided cytology in preopeartive approach on thyroid neck metastases
Ultrasound and guided cytology in preopeartive approach on thyroid neck metastases // Multidisciplinary Approach on Neck Metastases and Thyroid Gland
Zagreb, Hrvatska, 2003. (pozvano predavanje, nije recenziran, neobjavljeni rad, ostalo)
CROSBI ID: 175334 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Ultrasound and guided cytology in preopeartive approach on thyroid neck metastases
Autori
Bence-Žigman, Zdenka
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, neobjavljeni rad, ostalo
Skup
Multidisciplinary Approach on Neck Metastases and Thyroid Gland
Mjesto i datum
Zagreb, Hrvatska, 04.12.2003. - 06.12.2003
Vrsta sudjelovanja
Pozvano predavanje
Vrsta recenzije
Nije recenziran
Ključne riječi
Ultrasound; guided cytology; Thyroid neck metastases
Sažetak
Aim: To show the value of ultrasound examination (UE) in early detection of thyroid cancer (TC) and lymph node metastases (LNM) and its impact on preoperative approach and final outcome. Material: The 698 patients with TC (557 papillary, 89 follicular, 13 Hürthle cell, 38 medullary and 1 anaplastic) were followed-up for the periods ranging from the 0, 5 to 37 years (6, 6± ; ; 6). Results: Ultrasound guided fine needle biopsy (UGFNB) revealed TC in 451 patients (188 having TC<1cm). In these patients we performed UE of the neck to detect lymph nodes and UGFNB to detect LNM, before surgery. In 118 patients LNM were diagnosed. In these patients neck dissection with total thyroidectomy (TT) was done in the same act. The 13 patients (2, 8%) underwent subsequent operation for LNM recurrences, later detected during the follow-up. The 247 patients have been followed-up by ultrasound after the initial operation only. In this group, rate of subsequent operations for LNM was significantly higher, 17%. Out of all 698 patients, in 6, 2% distant metastases (DM) were observed. Most of them had larger TC, extrathyroidal extension, 81% had LNM too, 43% had intraglandular dissemination. Among the patients with DM, 37% died during the follow-up. Conclusion: Now, we have tools for the detection of small TC and LNM, but still don’ t have the tools to predict biological behaviour of TC. Based on these observation, we plead for TT even when small TC are diagnosed, dissection of LNM if they are diagnosed by UGFNB, and radioiodine ablation of thyroid remnant, because the early detection and initial treatment is the most important for the final outcome.
Izvorni jezik
Engleski
