Tumor margin histology predicts tumor aggressiveness in papillary thyroid carcinoma

A study of 514 consecutive patients

Kuk Jin Kim, Soon Won Hong, Yong Sang Lee, Bup Woo Kim, Seung Chul Lee, Hang-Seok Chang, Cheong Soo Park

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Histologic patterns at tumor margins may be related to prognosis in several malignancies. We investigated tumor aggressiveness with respect to tumor margin histology in patients with papillary thyroid carcinoma (PTC). Five hundred fourteen consecutive patients who underwent surgery for primary PTC between January and July 2009 were assigned to two groups, one with an infiltrative pattern (I-type, n = 347) at tumor margins and one with an expanding pattern (E-type, n = 167). Tumor aggressiveness was assessed by analyzing relationships between these patterns and known prognostic factors. The analysis showed that unfavorable prognostic factors such as tumor multiplicity (P = 0.002), extrathyroidal extension (P < 0.001), lateral neck lymph node metastasis (P < 0.001) and advanced TNM stage (P = 0.001) were significantly more prevalent in patients with I-type PTC than in those with the E-type. Central neck node metastases were more prevalent without statistical significance in the I-type patients (P = 0.376). Tumor margin histology was not related to gender or tumor size. These results suggest that histologic patterns at tumor margins predict aggressiveness in PTC.

Original languageEnglish
Pages (from-to)346-351
Number of pages6
JournalJournal of Korean medical science
Volume26
Issue number3
DOIs
Publication statusPublished - 2011 Mar 1

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Histology
Neoplasms
Neck
Papillary Thyroid cancer
Neoplasm Metastasis
Lymph Nodes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Kim, Kuk Jin ; Hong, Soon Won ; Lee, Yong Sang ; Kim, Bup Woo ; Lee, Seung Chul ; Chang, Hang-Seok ; Park, Cheong Soo. / Tumor margin histology predicts tumor aggressiveness in papillary thyroid carcinoma : A study of 514 consecutive patients. In: Journal of Korean medical science. 2011 ; Vol. 26, No. 3. pp. 346-351.
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abstract = "Histologic patterns at tumor margins may be related to prognosis in several malignancies. We investigated tumor aggressiveness with respect to tumor margin histology in patients with papillary thyroid carcinoma (PTC). Five hundred fourteen consecutive patients who underwent surgery for primary PTC between January and July 2009 were assigned to two groups, one with an infiltrative pattern (I-type, n = 347) at tumor margins and one with an expanding pattern (E-type, n = 167). Tumor aggressiveness was assessed by analyzing relationships between these patterns and known prognostic factors. The analysis showed that unfavorable prognostic factors such as tumor multiplicity (P = 0.002), extrathyroidal extension (P < 0.001), lateral neck lymph node metastasis (P < 0.001) and advanced TNM stage (P = 0.001) were significantly more prevalent in patients with I-type PTC than in those with the E-type. Central neck node metastases were more prevalent without statistical significance in the I-type patients (P = 0.376). Tumor margin histology was not related to gender or tumor size. These results suggest that histologic patterns at tumor margins predict aggressiveness in PTC.",
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Tumor margin histology predicts tumor aggressiveness in papillary thyroid carcinoma : A study of 514 consecutive patients. / Kim, Kuk Jin; Hong, Soon Won; Lee, Yong Sang; Kim, Bup Woo; Lee, Seung Chul; Chang, Hang-Seok; Park, Cheong Soo.

In: Journal of Korean medical science, Vol. 26, No. 3, 01.03.2011, p. 346-351.

Research output: Contribution to journalArticle

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