Thyroid carcinoma: A follow-up study of 11 years |
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Authors: | F. Ritzl G. Siebers C. Neumann E. K. Ritzl |
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Affiliation: | (1) Klinik für Nuklearmedizin der Städtischen Kliniken Wuppertal, Heusnerstrasse 40, D-5600 Wuppertal 2, Federal Republic of Germany |
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Abstract: | Summary During a follow-up of 11 years of thyroid carcinoma 136 patients were repeatedly examined. 43% papillary, 43% follicular, 11% anaplastic and 2% medullary carcinomas was found. The incidence of these types of carcinoma differed considerably; the frequency peak of papillary carcinomas was reached in 45-year-old humans, that of the follicular carcinomas in people aged 60, that of the anaplastic carcinomas in 70-year-old humans.84% of the patients was female. Classification in pTNM-system: 8% in pT1, 27% in pT2, 12% in pT3 and 49% in pT4. Local and distant metastases were found at a low rate equally in pT1, pT2 and pT3; 26% of patients in pT4 had local metastases and 18% had distant ones in addition. There were 6 patients with metastases of a differentiated adenocarcinoma accumulating no 131-iodine and with no thyroglobulin in serum. 29% of patients had after thyroidectomy an unilateral paresis of the nervus recurrens and 4% a bilateral one. 26% of patients had a permanent hypoparathyroidism after thyroidectomy.Dedicated to Prof. L.E. Feinendegen on the occasion of his 60th birthday |
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