MULTIVARIATE-ANALYSIS OF HISTOPATHOLOGICAL FEATURES AS PROGNOSTIC FACTORS IN PATIENTS WITH PAPILLARY THYROID-CARCINOMA

被引:36
作者
MORENOEGEA, A [1 ]
RODRIGUEZGONZALEZ, JM [1 ]
SOLAPEREZ, J [1 ]
SORIACOGOLLOS, T [1 ]
PARRILLAPARICIO, P [1 ]
机构
[1] UNIV MURCIA, HOSP VIRGEN ARRIXACA,DEPT SURG,GEN SURG UNIT, ENDOCRINE SURG SECT, E-30120 MURCIA, SPAIN
关键词
D O I
10.1002/bjs.1800820828
中图分类号
R61 [外科手术学];
学科分类号
摘要
A retrospective analysis of 121 papillary thyroid carcinomas was made to assess prognostic factors including histological variants which might be related to survival. The mean follow-up period was 10 years and clinical, surgical and histopathological data were studied. The survival curves were analysed by the Kaplan-Meier method and the multivariate analysis used Cox's regression model. Eighty-seven patients had well differentiated papillary thyroid cancer was 86 per cent at 5 years and 72 per cent at 10 years. Factors showing prognostic significance for survival were tumour size, extrathyroid extension and histological type. Disease-free survival was influenced by sex, existence of a capsule and nodal metastases. Factors showing a favourable prognosis were: age under 45 years, size less than 4 cm, no extrathyroid extension and well differentiated histological type (P<0.001). Histological subtype was one of the most important prognostic factors.
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页码:1092 / 1094
页数:3
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