Revised Korean Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Thyroid Cancer

Yi, Ka Hee; Park, Young Joo; Koong, Sung-Soo; Kim, Jung Han; Na, Dong Gyu; Ryu, Jin Sook; Park, So Yeon; Park, In Ae; Baek, Chung‐Hwan; Shong, Young Kee; Lee, Young Don; Lee, Jaetae; Lee, Jeong Hyun; Chung, Jae Hoon; Jung, Chan Kwon; Choi, Seung Ho; Cho, Bo Youn

doi:10.3348/jksr.2011.64.4.389

Cited by 48 publications

(65 citation statements)

References 238 publications

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“…Third, because only the pathologically proven data were included, this may have biased the sample toward a greater concentration of high-risk patients. Following the management guidelines for thyroid cancer, 5,16 total thyroidectomy was performed when the primary tumor size was >1 cm, or when multifocality, bilaterality, ETE, or abnormal lymphadenopathy were detected during the preoperative or intraoperative evaluations. Moreover, LN dissections were performed in the patients with advanced stage or when abnormal lymphadenopathy was detected during the preoperative or intraoperative examinations.…”

Section: As Shown Inmentioning

confidence: 99%

Role of BRAF V600E mutation as an indicator of the extent of thyroidectomy and lymph node dissection in conventional papillary thyroid carcinoma

Kim

Woo

Lee

et al. 2015

Surgery

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Section: As Shown Inmentioning

confidence: 99%

Role of BRAF V600E mutation as an indicator of the extent of thyroidectomy and lymph node dissection in conventional papillary thyroid carcinoma

Kim

Woo

Lee

et al. 2015

Surgery

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“…제를 복용해야 한다 [3]. 이러한 치료 및 검사 과정을 겪으면서 갑상선암 환자들은 진단 후 1년 이내에 가장 많은 신체 ․ 심리 ․ 사회적 어려움을 경험할 수 있는데 [4], 스트레스에 취약해지고 정서적인 문제가 발생하며 일상생활의 복귀와 적응을 방해하 여 삶의 질에 부정적인 영향을 주기도 한다 [5].…”

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Structural Equation Modeling on Health-related Quality of Life among Patients with Thyroid Cancer

이¹,

김

2018

Korean J Adult Nurs

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The aim of the study was to create a structural model based on Wilson and Cleary's Conceptual Model of Patient Outcomes. Secondly, the intention was to identify variables influencing the health-related quality of life (HRQoL) as reported by patients with thyroid cancer. Methods: A total of 201 patients with thyroid cancer were recruited from an outpatient clinic. Data were collected from June to November, 2015, using a structured questionnaire. The questionnaire included the Quality of Life-Thyroid Scale, Thyroid Stimulating Hormone (TSH), Medical Outcome Study Social Support Survey, MD Anderson Symptom Inventory-Thyroid, the Brief Illness Perception Questionnaire, and general characteristics of patients. The data were analyzed using the SPSS/WIN 21.0, AMOS 21.0, and SmartPLS 3.2.3 programs. Results: The fitness of the hypothetical model with the Wilson and Cleary model was satisfactory, showing that the coefficients of determination (R 2) were between .101 and .692 and the predictive relevance (Q 2) were between .124 and .320. The model explained 69.2% of the HRQoL. Symptom experience, functional status, disease perception, and social support directly and indirectly affected HRQoL. Age and TSH had an indirect influence on the HRQoL with the mediation effect of reported symptom experience. Conclusion: To improve the quality of life for patients with thyroid cancer, comprehensive nursing interventions need to be developed and applied. Decreasing the reported symptoms, changing the perception of the disease, improving functional status, and increasing social support may contribute to a higher quality of life among patients with thyroid cancer.

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“…4,[12][13][14]17,19 However, there are no specific data available in the literature for the management of WDTC confined to the thyroid isthmus with a long-term follow-up. 5 Current guidelines, including the 2015 ATA guidelines, 6 Korean Thyroid Association Guidelines, 7 Korean Association of Thyroid and Endocrine Surgeons Guidelines, 8 and British Thyroid Association guidelines 9 do not mention isthmusectomy as an acceptable procedure in the management of WDTC. 6 Therefore, the role of isthmusectomy in the treatment of WDTC has remained controversial.…”

Section: Discussionmentioning

confidence: 99%

Isthmusectomy in selected patients with well‐differentiated thyroid carcinoma

et al. 2019

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Background: Isthmusectomy in the treatment of well-differentiated thyroid carcinoma (WDTC) is controversial. In this study, we analyze the outcomes of WDTC managed by isthmusectomy alone. Methods: Forty-three patients treated with isthmusectomy alone were identified from an institutional database of 6259 surgically treated patients with WDTC. Patient and tumor characteristics were analyzed. Disease-specific survival (DSS) and recurrence-free survival (RFS) were calculated using the Kaplan-Meier method. Results: The pT classification was T1 for 41 and T2 for two patients. All were clinical N0, but 10 pts were pN1a. Using the American Thyroid Association risk stratification system, 9 patients were low-risk and 22 were intermediate-risk. One patient developed local recurrence, and two developed regional lymph node metastases; the 5-and 10-year DSS was 100.0%. The 5-and 10-year RFS was 93.1%. Conclusions: Isthmusectomy alone is an acceptable procedure in selected patients with low-and intermediate-risk WDTC limited to the isthmus. K E Y W O R D Sisthmectomy, isthmus, isthmusectomy, low risk cancer, well-differentiated thyroid carcinoma

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Revised Korean Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Thyroid Cancer

Cited by 48 publications

References 238 publications

Role of BRAF V600E mutation as an indicator of the extent of thyroidectomy and lymph node dissection in conventional papillary thyroid carcinoma

Role of BRAF V600E mutation as an indicator of the extent of thyroidectomy and lymph node dissection in conventional papillary thyroid carcinoma

Structural Equation Modeling on Health-related Quality of Life among Patients with Thyroid Cancer

Isthmusectomy in selected patients with well‐differentiated thyroid carcinoma

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