대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제4장 갑상선분화암의 수술 후 병리학적 진단 및 병기 결정 2024open accessKorean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Part I. Initial Management of Differentiated Thyroid Cancers - Chapter 4. Pathological Diagnosis and Staging after Thyroidectomy 2024
- Authors
- 신수진; 나희영; 강호철; 김선욱; 나동규; 박영주; 송영신; 이은경; 임동준; 정윤재; 정찬권
- Issue Date
- May-2024
- Publisher
- 대한갑상선학회
- Keywords
- Thyroid neoplasms; Pathology; Diagnosis; Guideline; Prognosis; Registries; Korean Thyroid Association; 갑상선종양; 병리학; 진단; 진료권고안; 예후; 등록; 대한갑상선학회
- Citation
- International Journal of Thyroidology, v.17, no.1, pp 61 - 67
- Pages
- 7
- Journal Title
- International Journal of Thyroidology
- Volume
- 17
- Number
- 1
- Start Page
- 61
- End Page
- 67
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74745
- DOI
- 10.11106/ijt.2024.17.1.61
- ISSN
- 2384-3799
2466-1899
- Abstract
- Postoperative pathological diagnosis of differentiated thyroid cancer (DTC) is important to confirm the diagnosis and predict the risk of recurrence and death. Further treatment plans, such as completion thyroidectomy, radioiodine remnant ablation, or external beam radiation therapy, are then opted for to reduce the predicted risk of recurrence or death. The World Health Organization has classified thyroid cancers into seven distinct categories based on the molecular profile and tumor cell origin. Our recommendation is applicable to differentiated follicular cell-derived carcinoma, the most common form of thyroid cancer, and cribriform morular thyroid carcinoma. Postoperative clinical and pathological staging is recommended for all patients with DTC to determine their prognosis and subsequent treatment decisions. In particular, the American Joint Committee on Cancer (AJCC)/Union for International Cancer Control (UICC) staging system is recommended for staging DTCs for disease mortality prediction and national cancer registries. The information in the pathology report, including histologic features of the tumor that are necessary for AJCC/UICC staging and recurrence prediction, can help assess the patient’s risk.
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