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乳头甲状腺小癌:管理是否根据设施变量有所不同?

Ryan C Higgins1, Tonya S King2, Jacqueline Tucker3

  • 1Department of Otolaryngology, University of Nebraska Medical Center, Omaha, NE, United States of America.

American journal of otolaryngology
|August 6, 2024
PubMed
概括
此摘要是机器生成的。

尽管指南建议对乳头甲状腺微癌 (mPTC) 进行保守护理,但大多数患者都接受了全甲状腺切除术. 对于mPTC的治疗决定受到设施容量的影响,而不仅仅是患者因素.

关键词:
美国甲状腺协会美国甲状腺协会.金融机构的交易量.乳头甲状腺小癌的小细胞甲状腺小癌.

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科学领域:

  • 内分泌学 在内分泌学.
  • 手术瘤学手术瘤学
  • 公共卫生 公共卫生

背景情况:

  • 乳头甲状腺癌 (PTC) 的检测率显著增加.
  • 乳头甲状腺小癌 (mPTC) 是PTC的一种惰形式.
  • 美国甲状腺协会 (ATA) 建议对mPTC进行保守的管理.

研究的目的:

  • 调查mPTC的管理.
  • 分析设施变量对mPTC治疗的影响.
  • 为了比较2015年ATA指南之前和之后的治疗方式.

主要方法:

  • 使用国家癌症数据库 (2004-2018) 进行回顾性观察研究.
  • 收集了有关患者人口统计,瘤特征,设施容量和治疗的数据.
  • 基于患者和设施因素,比较保守与非保守的治疗方法.

主要成果:

  • 带有或没有放射性切除 (RAI) 的全甲状腺切除术是主要的治疗方法.
  • 低容量设施的患者更有可能接受保守的治疗.
  • 治疗模式在很大程度上保持一致,无论患者或设施的特点.

结论:

  • 目前对mPTC的治疗往往偏离了2015年ATA建议.
  • 整体甲状腺切除术经常进行,特别是在大量的设施.
  • 设施体积似乎影响了mPTC手术干预的程度.