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Papillary and follicular thyroid carcinoma: the treatment results of 357 patients at the National Kyushu Cancer Centre of Japan

Published online by Cambridge University Press:  29 June 2007

Kimimasa Yasumoto ,
Chisato Miyagi ,
Tadashi Nakashima ,
Hideo Baba  and
Yasaburoh Katsuta
Kimimasa Yasumoto
Affiliation:
Department of Head and Neck Surgery, National Kyushu Cancer Centre, Notame 3-1-1, Minami-ku, Fukuoka 815Japan
Chisato Miyagi
Affiliation:
Department of Head and Neck Surgery, National Kyushu Cancer Centre, Notame 3-1-1, Minami-ku, Fukuoka 815Japan
Tadashi Nakashima*
Affiliation:
Department of Head and Neck Surgery, National Kyushu Cancer Centre, Notame 3-1-1, Minami-ku, Fukuoka 815Japan
Hideo Baba
Affiliation:
Department of Gastroenterological Surgery, National Kyushu Cancer Centre, Notame 3-1-1, Minami-ku, Fukuoka 815Japan
Yasaburoh Katsuta
Affiliation:
Departmentt of Pathology, National Kyushu Cancer Centre, Notame 3-1-1, Minami-ku, Fukuoka 815, Japan
*
Address for correspondence: Tadashi Nakashima, M.D., Department of Head and Neck Surgery, National Kyushu Cancer Centre, Notame 3-1-1, Minami-ku, Fukuoka 815, Japan. Fax: (092) 551-4585.
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Abstract

During the period from April 1974 to March 1993, 357 patients received surgical treatment for papillary and follicular carcinoma of the thyroid gland at the Department of Head and Neck Surgery of National Kyushu Cancer Centre, Japan. In this paper, we review the various clinico-pathological features of these patients and analyse their influence on patient survival. While the majority of the patients' ages ranged from the third through seventh decade, only the patients older than 40 years old died. In papillary carcinomas, there was a statistically significant difference in the survival rate between younger (less than 45 years old) and older (45 years of age or older) patients. The rate of patients who died of thyroid cancer also increased in the cases with extra-thyroidal tumour invasion, and metastasis to distant organs. A multivariate analysis also showed that the age, extrathyroidal invasion and distant metastasis are significant prognostic factors. However, sex, histology and lymph node metastasis were not prognostic factors for survival.

Keywords

Thyroid neoplasmsCarcinoma, papillaryCarcinoma, follicularPrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 7 , July 1996 , pp. 657 - 662
Copyright
Copyright © JLO (1984) Limited 1996

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