患有格雷夫斯病的患者的偶然甲状腺癌:不像我们以前认为的那么罕见
Shaidy Moronta1, Lauren Slattery2, Rongzhi Wang3
1Department of Surgery, Danbury Hospital, Danbury, Connecticut.
The Journal of surgical research
|March 18, 2025
概括
顺便说一下,甲状腺癌在接受全甲状腺切除术的格雷夫斯病患者中被发现为12.7%. 这凸显了在患者咨询期间考虑这种风险的重要性,以确定格雷夫斯病的管理.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 关于甲状腺癌发生率在格雷夫氏病 (GD) 患者的先前研究仅限于小队列.
- 需要大规模的多机构数据来准确评估这种风险.
研究的目的:
- 为了确定在接受全甲状腺切除术的格雷夫斯病患者中偶发甲状腺癌的发生率.
- 为了比较发生甲状腺癌和没有发生甲状腺癌的格雷夫斯病患者之间的人口统计和术后结果.
主要方法:
- 使用了国家外科质量改进计划的程序向甲状腺切除术数据集 (2013-2021).
- 对同时存在的甲状腺癌的手术病理报告进行了审查,不包括隐藏或微型封闭的病例.
- 根据偶然的癌症存在,比较患者人口统计和术后结果.
主要成果:
- 在接受全甲状腺切除术的格雷夫斯病患者中,有12.7% (406/3193) 发现了偶然的甲状腺癌.
- 乳头甲状腺癌是最常见的类型 (95.3%),大多数癌症是T1阶段 (84.5%).
- 患有偶发癌症的患者年龄较大,BMI较高,但术后结果相似.
结论:
- 在接受甲状腺切除术的格雷夫斯病患者中,很大一部分患有偶然的甲状腺癌.
- 这一发现需要考虑偶然的癌症风险在咨询患者GD管理选项时.
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