Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Clinical Features and Factors Affecting Prognosis of Papillary Thyroid Carcinoma in Male Patients

남성 갑상선 유두암 환자의 임상 특징과 예후에 미치는 인자에 관한 연구

  • Kim, Nam Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital) ;
  • Kim, Kyoung Hun (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital) ;
  • Park, Sung Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital) ;
  • Lee, Guk Haeng (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital) ;
  • Lee, Byeong Cheol (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital) ;
  • Lee, Myung-Chul (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital) ;
  • Choi, Ik Joon (Department of Otorhinolaryngology-Head and Neck Surgery, Korea Cancer Center Hospital)
  • 김남영 (한국원자력의학원 원자력병원 이비인후-두경부외과) ;
  • 김경헌 (한국원자력의학원 원자력병원 이비인후-두경부외과) ;
  • 박성호 (한국원자력의학원 원자력병원 이비인후-두경부외과) ;
  • 이국행 (한국원자력의학원 원자력병원 이비인후-두경부외과) ;
  • 이병철 (한국원자력의학원 원자력병원 이비인후-두경부외과) ;
  • 이명철 (한국원자력의학원 원자력병원 이비인후-두경부외과) ;
  • 최익준 (한국원자력의학원 원자력병원 이비인후-두경부외과)
  • Received : 2016.09.28
  • Accepted : 2016.11.07
  • Published : 2016.11.30
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Abstract

Background and Objectives: National cancer center institute reports that male patients of papillary thyroid carcinoma (PTC) are annually increasing. This study aimed to analyze the features of the male patients with PTC. Materials and Method: We retrospectively reviewed and analyzed clinical records of 170 patients who were treated for PTC in male patients between 2000 and 2010. Clinical features, size, pathologic type, extrathyroidal extension, recurrence, multiplicity, extent of surgery, and lymph node metastasis were retrospectively evaluated.Univariate and multivariate analyses of various clinical factors were performed. Results: Total 4145 patients received surgery for papillary thyroid carcinoma. The number of male patients was 170 (4.1%) among them. Of170 male patients, only 16(9.4%) patients underwent the recurrence of PTC. The size of tumor, central neck node metastasis, lateral neck node metastasis, extrathyroidal extension and RAI ablation therapy were associated with recurrence(p< 0.05) in univariate analysis. However, only the extrathyroidal extension [p=0.03, Odds ratio=3.58(95% CI. 1.09~14.24)] was related to the recurrence in multivariate analysis. Conclusion: Re-estimation of clinical features in male PTC patients should be concerned. The recurrence of PTC in male patients was 16(9.4%) and nearly same as the other studies. The extrathyroidal extension was revealed as an associated factor for the recurrence. Evaluation of regional or distant metastasis should be considered in patients with the extrathyroidal extension in male PTC patients during long-term follow-up.

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