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The high degree of similarity in histopathological and clinical characteristics between radiogenic and sporadic papillary thyroid microcarcinomas in young patients
http://hdl.handle.net/10069/00041732
http://hdl.handle.net/10069/000417320a96bc4e-74a1-4e99-bd48-d439cfece90b
名前 / ファイル | ライセンス | アクション |
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FE13_970682.pdf (5.2 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-09-26 | |||||
タイトル | ||||||
タイトル | The high degree of similarity in histopathological and clinical characteristics between radiogenic and sporadic papillary thyroid microcarcinomas in young patients | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | radiogenic papillary thyroid microcarcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | sporadic papillary thyroid microcarcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | invasiveness | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | treatment | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | BRAFV600E mutation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Ki67 labeling index | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Bogdanova, Tetiana
× Bogdanova, Tetiana× Chernyshov, Serhii× Zurnadzhy, Liudmyla× Rogounovitch, Tatiana I.× Mitsutake, Norisato× Tronko, Mykola× Ito, Masahiro× Bolgov, Michael× Masiuk, Sergii× Yamashita, Shunichi× Saenko, Vladimir A. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The potential overtreatment of patients with papillary thyroid rocarcinoma (MPTC) has been an important clinical problem in endocrine oncology over the past decade. At the same time, current clinical guidelines tend to consider prior radiation exposure as a contraindication to less extensive surgery, even for lowrisk thyroid carcinomas, which primarily include microcarcinomas. This study aims to determine whether there are differences in the behavior of MPTC of two etiological forms (radiogenic and sporadic), including invasive properties, clinical data, and recurrence in patients aged up to 30 years. For this purpose, 136 radiogenic (from patients aged up to 18 years at the time of the Chornobyl accident) and 83 sporadic (from patients born after the Chornobyl accident) MPTCs were selected and compared using univariate and multivariate statistical methods in a whole group and in age and tumor size subgroups. No evidence of more aggressive clinical and histopathological behavior of radiogenic MPTCs as compared to sporadic tumors for basic structural, invasive characteristics, treatment options, and postoperative follow-up results was found. Moreover, radiogenic MPTCs were characterized by the lower frequencies of oncocytic changes (OR = 0.392, p = 0.004), nodal disease (OR = 0.509, p = 0.050), and more frequent complete remission (excellent response) after radioiodine therapy (OR = 9.174, p = 0.008). These results strongly suggest that internal irradiation does not affect tumor phenotype, does not associate with more pronounced invasive properties, and does not worse prognosis in pediatric or young adult patients with MPTC, implying that radiation history may be not a pivotal factor for determining treatment strategy in such patients. |
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書誌情報 |
Frontiers in Endocrinology 巻 13, p. 970682, 発行日 2022-08-19 |
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出版者 | ||||||
出版者 | Frontiers Media S.A. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1664-2392 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.3389/fendo.2022.970682 | |||||
権利 | ||||||
権利情報 | © 2022 Bogdanova, Chernyshov, Zurnadzhy, Rogounovitch, Mitsutake, Tronko, Ito, Bolgov, Masiuk, Yamashita and Saenko. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Frontiers in Endocrinology, 13, art. no. 970682; 2022 |