Thyroid Papillary Carcinoma; Recent Trends
甲状腺癌の自覚症状と進展度

Ryo ASATO, Hiroyuki KITAMURA, Sanson HAN, Kouji MIYATA, Shigeru HIRANO, Kenichi KANEKO, Katsuyuki OHI
1995 Practica Oto-Rhino-Laryngologica  
Ken-ichi Kaneko (Takatsuki Red Cross Hospital) Katsuyuki Ohi (Wakayama Red Cross Hospital) Of the 55 patients with thyroid papillary carcinoma (PAC) operated on in 1991 in Tenri Hospital, 32 (58.2%) had PAC discovered during medical examinations for non-thyroid complaints (NTC), 19 patients (34.5%) were examined for thyroid complaints (TC), and 4 because of foreign body sensation of the larynx. We compared the TC and NTC patients. The average diameter of the thyroid nodule in the TC patients
more » ... 34mm and that of the NTC patients was 14mm, a significant difference. In the NTC patients the incidence of lymphnode metastasis or extra-thyroid invasion was 7.1%, and in the TC patients it was 26.3%. The incidence of lymphnode metastasis was not a significantly different between the two groups, but the incidence of lymphnode metastasis beyond the central nodes was 42.1% in the TC patients and 12.5% in the NTC patients. Therefore, palpation of the neck is very important for the early detection of PAC.
doi:10.5631/jibirin.88.499 fatcat:nffjlbpb55chzcilwn2i7jqyoy