Anaplastic carcinoma of the thyroid: A 24‐year experience
作者:
Raymond K. Tan,
Robert K. Finley,
Deborah Driscoll,
Vahram Bakamjian,
Wesley L. Hicks,
Donald P. Shedd,
期刊:
Head&Neck
(WILEY Available online 1995)
卷期:
Volume 17,
issue 1
页码: 41-48
ISSN:1043-3074
年代: 1995
DOI:10.1002/hed.2880170109
出版商: Wiley Subscription Services, Inc., A Wiley Company
数据来源: WILEY
摘要:
AbstractBackground.Anaplastic carcinoma of the thyroid gland is a lethal entity; few patients live more than 12 months following diagnosis. We retrospectively reviewed the experience with this entity at our cancer institute and identified a subgroup of patients with complete resection who have a 60% 5‐year survival.Methods.Twenty‐one cases of anaplastic carcinoma of the thyroid gland were analyzed retorspectively with respect to prognostic factors influencing survival. This represents 2.7% of 771 cases of thyroid cancer seen at our institution from 1968 to 1992. The median age at presentation was 65.1 years; male/female ratio was 1:1.1; and the most common symptom was a rapidly enlarging neck mass (76%).Results.Estimated 5‐year survival was 10% (median: 4.5 months). Tumor size less than 6.0 cm (p= .004) and female gender (p= .02) were significant prognostic factors. Five patients who underwent complete resection had an estimated 5‐year survival of 60% (median: 131 months). Four of these patients had postoperative radiotherapy with or without sequential chemotherapy. Two of these patients survived more than 10 years, and a third remains alive without disease at 26 months.Conclusions.Complete resection and multimodality therapy result in long‐term survival for a subgroup of patients with anaplastic thyroid carcinoma. © 1995 Jons Wiley
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