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30세 미만의 갑상선 유두상암 환자의 임상병리학적 특성에 대한 분석
이재홍(Jae Hong Lee),고준완(Jun Wan Ko),김준식(Jun Sik Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.4
Purpose: This study analyzed clinicopathologic features in patients with thyroid papillary carcinoma, who were younger than thirty, compared with patients aged thirty and forty-five. Methods: The clinical records of 337 patients who underwent thyroidectomy because of papillary thyroid carcinoma were reviewed. Among them, 62 patients who were younger than thirty were placed in group Ⅰ. And 275 patients between thirty and forty-five were placed in to group Ⅱ. Clinicopathologic features between the two groups were analyzed. Results: There was no significant difference between two groups in age, gender, tumor extension, and multifocality. Symptoms before detection of papillary thyroid carcinoma such as palpable mass, compressive symptoms or hoarseness were significantly higher in group Ⅰ (P=0.008). In tumor size, rate of microcarcinoma is significantly higher in group Ⅱ (P=0.024). Lymph node metastasis was found to be more significant in group Ⅰ (P=0.010). The operative methods were different between the two groups. Rate of total thyroidectomy was increased in group Ⅰ (P=0.021). Conclusion: This study shows that patients with thyroid papillary carcinoma, younger than thirty have more clinical symptoms and more large sized masses, more lymph node metastases at the time of surgery compared with those aged between thirty and forty-five.
갑상선유두암 수술 중 확인된 비회귀성 반회후두 신경 1예
신혜승 ( Hye-seung Shin ),윤성필 ( Seong-pil Yoon ),고준완 ( Jun-wan Ko ),김준식 ( Jun-sik Kim ) 대한갑상선학회 2010 International Journal of Thyroidology Vol.3 No.2
A nonrecurrent laryngeal nerve has a reported incidence of 0.3 to 1.6%, and they mostly identified on the right side of neck during thyroid or parathyroid surgery. We experienced a case of nonrecurrent laryngeal nerve during surgery for papillary thyroid cancer. Total thyroidectomy with central node dissection was performed in a 67-year-old female patient. After total thyroidectomy the nerve was found at the level of the 4th tracheal ring, direct branching from the vagus nerve. A surgeon must beware that not to damage a nonrecurrent laryngeal nerve which found during thyroid or parathyroid surgery.