J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 5058KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 82(2): 121-129, 1981

Original article

POST-OPERATIVE CURABILITY AND RECURRENCE OF THE THYROID CANCER

1) Dept. of Head and Neck Surgery, Cancer Institute Hospital
2) Dept. of Pathology, Cancer Institute Hospital
3) Surgical Clin., Kyohnan Hospital
4) 1st Dept. of Surgery, Jikei University School of Medicine

Nobukatsu kasai1), Atsuhiko Sakamoto2), Shinichiro Ogawa3), Masaoki Uchida1), Tetsu Watanuki4)

For the treatment of thyroid cancer, the relationship between the operation method and prognosis was analyzed using 186 cases of well differentiated carcinoma, 35 of poorly differentiated carcinoma and 25 of anaplastic carcinoma. The 5-year and 10-year cummulative survival rates of well differentiated carcinoma, poorly differentiated carcinoma and anaplastic carcinoma were 95.1, 85.9%, 70.0, 36.8% and 0.0, 0.0%, respectively. The duration between the operation for the primary cancer and the development of recurrent focus varied in every cases of well differentiated carcinoma. On the other hand, most of poorly differentiated carcinoma recurred within the first 5 years.
In anaplastic carcinoma, it was hard to gain more than 2 years survival. In conclusion, it is necessary to perform relatively curative surgery for well and poorly differentiated carcinoma. The combined modality including the surgery, radiation and chemotherapy should be given to anaplastic carcmoma.

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