Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors
Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing...
Ausführliche Beschreibung
Autor*in: |
Podda, Mauro [verfasserIn] |
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Englisch |
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2015 |
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Anmerkung: |
© Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
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Übergeordnetes Werk: |
Enthalten in: World journal of surgical oncology - London : Biomed Central, 2003, 13(2015), 1 vom: 04. Juni |
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Übergeordnetes Werk: |
volume:13 ; year:2015 ; number:1 ; day:04 ; month:06 |
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DOI / URN: |
10.1186/s12957-015-0612-8 |
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SPR028831802 |
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520 | |a Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. | ||
650 | 4 | |a Follicular thyroid carcinoma |7 (dpeaa)DE-He213 | |
650 | 4 | |a Minimally invasive carcinoma |7 (dpeaa)DE-He213 | |
650 | 4 | |a Widely invasive carcinoma |7 (dpeaa)DE-He213 | |
650 | 4 | |a Lymph node metastasis |7 (dpeaa)DE-He213 | |
650 | 4 | |a Recurrence |7 (dpeaa)DE-He213 | |
650 | 4 | |a Prognosis |7 (dpeaa)DE-He213 | |
700 | 1 | |a Saba, Alessandra |4 aut | |
700 | 1 | |a Porru, Federica |4 aut | |
700 | 1 | |a Reccia, Isabella |4 aut | |
700 | 1 | |a Pisanu, Adolfo |4 aut | |
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10.1186/s12957-015-0612-8 doi (DE-627)SPR028831802 (SPR)s12957-015-0612-8-e DE-627 ger DE-627 rakwb eng Podda, Mauro verfasserin aut Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. Follicular thyroid carcinoma (dpeaa)DE-He213 Minimally invasive carcinoma (dpeaa)DE-He213 Widely invasive carcinoma (dpeaa)DE-He213 Lymph node metastasis (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Saba, Alessandra aut Porru, Federica aut Reccia, Isabella aut Pisanu, Adolfo aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 13(2015), 1 vom: 04. Juni (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:13 year:2015 number:1 day:04 month:06 https://dx.doi.org/10.1186/s12957-015-0612-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2015 1 04 06 |
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10.1186/s12957-015-0612-8 doi (DE-627)SPR028831802 (SPR)s12957-015-0612-8-e DE-627 ger DE-627 rakwb eng Podda, Mauro verfasserin aut Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. Follicular thyroid carcinoma (dpeaa)DE-He213 Minimally invasive carcinoma (dpeaa)DE-He213 Widely invasive carcinoma (dpeaa)DE-He213 Lymph node metastasis (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Saba, Alessandra aut Porru, Federica aut Reccia, Isabella aut Pisanu, Adolfo aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 13(2015), 1 vom: 04. Juni (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:13 year:2015 number:1 day:04 month:06 https://dx.doi.org/10.1186/s12957-015-0612-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2015 1 04 06 |
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10.1186/s12957-015-0612-8 doi (DE-627)SPR028831802 (SPR)s12957-015-0612-8-e DE-627 ger DE-627 rakwb eng Podda, Mauro verfasserin aut Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. Follicular thyroid carcinoma (dpeaa)DE-He213 Minimally invasive carcinoma (dpeaa)DE-He213 Widely invasive carcinoma (dpeaa)DE-He213 Lymph node metastasis (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Saba, Alessandra aut Porru, Federica aut Reccia, Isabella aut Pisanu, Adolfo aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 13(2015), 1 vom: 04. Juni (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:13 year:2015 number:1 day:04 month:06 https://dx.doi.org/10.1186/s12957-015-0612-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2015 1 04 06 |
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10.1186/s12957-015-0612-8 doi (DE-627)SPR028831802 (SPR)s12957-015-0612-8-e DE-627 ger DE-627 rakwb eng Podda, Mauro verfasserin aut Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. Follicular thyroid carcinoma (dpeaa)DE-He213 Minimally invasive carcinoma (dpeaa)DE-He213 Widely invasive carcinoma (dpeaa)DE-He213 Lymph node metastasis (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Saba, Alessandra aut Porru, Federica aut Reccia, Isabella aut Pisanu, Adolfo aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 13(2015), 1 vom: 04. Juni (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:13 year:2015 number:1 day:04 month:06 https://dx.doi.org/10.1186/s12957-015-0612-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2015 1 04 06 |
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10.1186/s12957-015-0612-8 doi (DE-627)SPR028831802 (SPR)s12957-015-0612-8-e DE-627 ger DE-627 rakwb eng Podda, Mauro verfasserin aut Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. Follicular thyroid carcinoma (dpeaa)DE-He213 Minimally invasive carcinoma (dpeaa)DE-He213 Widely invasive carcinoma (dpeaa)DE-He213 Lymph node metastasis (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Saba, Alessandra aut Porru, Federica aut Reccia, Isabella aut Pisanu, Adolfo aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 13(2015), 1 vom: 04. Juni (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:13 year:2015 number:1 day:04 month:06 https://dx.doi.org/10.1186/s12957-015-0612-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2015 1 04 06 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. 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Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors Follicular thyroid carcinoma (dpeaa)DE-He213 Minimally invasive carcinoma (dpeaa)DE-He213 Widely invasive carcinoma (dpeaa)DE-He213 Lymph node metastasis (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 |
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follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors |
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Follicular thyroid carcinoma: differences in clinical relevance between minimally invasive and widely invasive tumors |
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Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
abstractGer |
Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
abstract_unstemmed |
Background Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival. Methods From January 1998 to October 2013, 71 patients were operated on in our department because of a FTC. A retrospective cohort study was carried out to compare 42 MI-FTC and 29 WI-FTC. The comparison involved evaluation of patient characteristics, tumor characteristics, tumor staging, and risk assessment. Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. Nevertheless, definitive recommendations cannot be made without a longer follow-up. © Podda et al. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
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Results A diameter greater than 4.0 cm, the presence of vascular invasion, the TNM stage III–IVA, and the high risk at AMES system risk stratification were independent factors significantly related to the presence of a WI-FTC. The only independent predictor of recurrence and disease-free survival at 10-year follow-up was a tumor size greater than 4.0 cm. Conclusions More attention must be paid in the postoperative tumor re-staging of those patients with tumor size larger than 4.0 cm, which was the only parameter predicting recurrence and influencing disease-free survival. 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