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Papillary thyroid cancer and its surgical
Author(s) -
Noguchi Masakuni,
Earashi Mitsuharu,
Kitagawa Hirohisa,
Ohta Nagayoshi,
Thomas Michael,
Miyazaki Itsuo,
Mizukami Yuji,
Michigishi Takatoshi
Publication year - 1992
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930490303
Subject(s) - medicine , multivariate analysis , papillary thyroid cancer , lymph node , thyroid cancer , retrospective cohort study , thyroid , cancer , cervical cancer , surgery , conservative management , stage (stratigraphy) , oncology , survival analysis , general surgery , paleontology , biology
The surgical management in papillary thyroid cancer has been highly controversial. In the Department of Surgery (II), Kanazawa University Hospital, the surgical management especially for cervical lymph node metastases has changed since 1973 from a conservative approach to an aggressive one. In order to determine whether an aggressive approach is warranted, a retrospective multivariate analysis was carried out on 106 cases of papillary thyroid cancer. The patients have been followed for 10–28 years. Multivariate analysis was conducted following Cox's model. By this analysis, aggressive management appeared to have no impact on survival or relapse‐free survival. However, age, sex, tumor size, and cervical lymphadenopathy were confirmed to be important prognostic factors in survival and/or relapse‐free survival. © 1992 WiIey‐Liss, Inc.