Abstract：
Objective:To evaluate the ultrasonography (US) features and clinical characteristics of columnar cell variant of papillary thyroid carcinoma (CCV-PTC) that can predict disease progression. Materials and Methods:Six cases of CCV-PTC were identified via surgical pathology analysis at our institution from 1994 to 2016. The histological, architectural, and cytological features met the diagnostic criteria of CCV-PTC. We reviewed the US features and clinicopathological findings in the six cases. Results:An indolent clinical course was observed in four young female patients aged 27-34 years (median: 32 years), while two older patients aged 55 years or 70 years had an aggressive clinical course. All patients underwent total thyroidectomy and radioiodine therapy. The indolent group included patients with T1 and nodal metastasis, where the disease was not observed during the follow-up period (range: 8-17 years). On the other hand, a larger tumor size (1.8 cm and 6.0 cm), gross extrathyroidal extension to the muscle and lymph node, and distant metastasis were observed in the aggressive group. In one male patient, recurrence occurred immediately after operation, and this patient died 4 years after the diagnosis of thyroid cancer. Based on US, the individuals from the indolent group had a smooth margin, except for one. Both cases in the aggressive group had a microlobulated margin. Conclusion:Favorable prognosis in CCV-PTC is observed in young patients with T1 staging and demonstrates a smooth margin at US. These US findings might help exclude the same treatment as the aggressive type in the indolent type of CCV-PTC.
journal_name
Korean J Radioljournal_title
Korean journal of radiologyauthors
Cho J,Shin JH,Hahn SY,Oh YLdoi
10.3348/kjr.2018.19.5.1000subject
Has Abstractpub_date
2018-09-01 00:00:00pages
1000-1005issue
5eissn
1229-6929issn
2005-8330journal_volume
19pub_type
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journal_title：Korean journal of radiology
pub_type： 杂志文章
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journal_title：Korean journal of radiology
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2008.9.s.s65
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
doi：10.3348/kjr.2012.13.1.1
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journal_title：Korean journal of radiology
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2000.1.2.114
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pub_type： 杂志文章,评审
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
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更新日期：2017-01-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2009.10.3.227
更新日期：2009-05-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2011.12.3.308
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2015.16.3.673
更新日期：2015-05-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
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更新日期：2020-07-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2012.13.6.803
更新日期：2012-11-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2000.1.1.56
更新日期：2000-01-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2013.14.6.869
更新日期：2013-11-01 00:00:00
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pub_type： 杂志文章
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journal_title：Korean journal of radiology
pub_type： 杂志文章
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2017.0771
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
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更新日期：2010-07-01 00:00:00
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pub_type： 杂志文章
doi：10.3348/kjr.2009.10.6.552
更新日期：2009-11-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
doi：10.3348/kjr.2018.0088
更新日期：2019-01-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2016.17.5.797
更新日期：2016-09-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
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更新日期：2011-03-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章
doi：10.3348/kjr.2007.8.4.295
更新日期：2007-07-01 00:00:00
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journal_title：Korean journal of radiology
pub_type： 杂志文章,评审
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更新日期：2019-02-01 00:00:00
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pub_type： 杂志文章
doi：10.3348/kjr.2020.0011
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