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PREDICTORS OF MULTIFOCAL PAPILLARY THYROID CANCER. DO THEY EXIST?
O V Mazur1, V A Palamarchuk1, O A Tovkai1
1Ukrainian Scientific and Practical Center of Endocrine Surgery, Transplantation of Endocrine Organs and Tissues of the Ministry of Health of Ukraine.
Abstract:
The aim of this study is to analyze and identify the main predictors that may indicate multifocal growth of PTC.
Materials And Methods:
The main and control groups included patients with the category of malignant multifocal process T1-3mN0Mx (n=109) and unifocal T1-T3N0Mx (n=50) respectively, who underwent thyroidectomy with lymphadenectomy.Ultrasound characteristics of the nodes, tissue changes of the thyroid gland were taken into account.
Results:
Fibrous changes can be considered as one of the risk factors of the presence of additional PTC lesion.
Discussion:
There is no unambiguity in the definition of predictors of multifocal PTC growth.
Conclusions:
No clear predictors of multifocal PTC have been identified. It is advisable to improve the quality of ultrasound, to focus on single-focus PTC in patients with fibrinous changes in the thyroid gland at normal levels of TSH.
