Pronóstico del cáncer papilar y folicular de tiroides
Abstract
El cáncer de tiroides ocupa un lugar prominente en cuanto a incidencia en él Ecuador, siendo los tipos papilar y folicular los frecuentes. En estos últimos, la amplitud de la cirugía y el tratamiento complementario con 1131 han sido motivo de permanente controversia a nivel universal debido básicamente a la falta de ensayos terapéuticos randomizados.
Tratando de adaptar el tratamiento a la extensión deía enfermedad se han propuesto varios índices pronósticos con sistemas de puntajes en base a los cuales proponer la estrategia de tratamiento. Utilizando el sistema AGES de la Mayo Clinic hemos encontrado que en una serie de 42 cánceres papilares y foliculares, los 30 casos considerados de bajo riesgo tuvieron una sobrevida actuarial de 100 ofo a 5 años en tanto que en los 12 casos de altó riesgo dicha sobrevida fue de 25 o)ó. En consecuencia, en este último grupo se justifica una terapéutica mas amplia y agresiva.
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References
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2. Beaugié JM, Brown CL, Doniach 1, Richardson JE: Prirnary Malignant Tumors of the Thyroid: The Relationship Between Histological Classification and Clinical Behavior. BrJ Surg 63:173-181,1976.
3. Wanebo H, Andrews W, Kaiser DL: Thyroid Cáncer: Some Basic Gonsiderations. Am J Surg 142:474-479, 1981.
4. Cohn KH, Backdahl M, Forsslund G et col: Biologie Considerations and Operative Strategy in Papillary Tyroid Carcinoma: Arguments Against Routine Performance of Total Thyroidectomy. Surgery 96:957-970, 1984.
5. Baker RR, Hyland J : Papillary Carcinoma of the Thyroid Gland. Surg Gynecol Obstet 161:546-550,1985. JR: Surgery for Thyroid Carcinoma. Cáncer 55:1376-1381,1985.
6. Crile G, Pontius KI, Ilawk WA: Factors Influencing the Survival of Patients with Follicular Carcinomaof the Thyroid Gland. Surg Gynecol Obstet 160:409-413, 1985.
7. Sha JP: Differentiated Thyroid Cáncer. In: Bloom HJG: Head and Neck Oncology, Raven Press, New York, 1986, p 207-214.
8. Stanaes’ IIF, Broofcs DC, Pinkus OS, Brooks JR: Surgery for Thyroid Carcinoma. Cáncer 55:1376-1381,1985.
9. Carcangiu ML, Zampi G, Pupi A et col: Papillary Carcinoma of the Thyroid. A Clinicopathologic Study of 241 Cases Treated at the University of Florence, Italy. Cáncer 55:805-828,1985.
10. Joensuu H, Klemi PJ, Paul R, Tuminen J: Survival and Prognostic Factors in Thyroid Carcinoma Acta Dadiol Oncology 25:243- 248, 1986.
11. Vickery AL, Wang C, Walker A: Treatment of Intrathyroidal Papillary Carcinoma of the Thyroid. Cáncer 60:2587-2595, 1987.
12. Friedman M, Deitch R, Grybauskas VT, Skolnik EM: Thyroid Carcinoma. Hematol Oncol Clin North America 2:363-373,1988.
13. Rodríguez Cuevas SA, Labastida S, Reyes JM et col: Cáncer de Tiroides en México: Análisis de 500 Casos. Oncología (México) 3:9-15,1988.
14. Ilarness JK, Thompson NW, McLcod MK: Follicular Carcinoma of the Thyroid Gland: Trends and Treatment. Surgery 96:972-980, 1984.
15. Bacourt F, Asselain B, Savoie JC et col: Multifactorial Study of Prognostic Factors in Differentiated Thyroid Carcinoma and a Re-evaluation of the Importance of Age. Br J Surg 73:274-277, 1986.
16. Gandon J, Barrault S: Cancers du Corpus Thyroide. Cours de Cancerologie Cervico- Faciaie, Institut Gustave Roussy, 1985 (monografía).
17. Chonkich GD, Petti GH, Goral W: Total thyroidectomy in the Treatment of Thyroid Disease. Laryngoscope 97:897-900, 1987.
18. Arriold RE, Edge BK: A Descriptive Experience of Total Thyroidectomy as the Initial Operation for Differentiated Carcinoma of the Thyroid. Am J Surg 158:396-398,1989.
19. Sarda AK, Bal S, Kapur MM: Near-total Thyroidectomy for Carcinoma of the Thyroid. Br J Surg 76:90-92,1989.
20. Brennan MD, Bergstralh EJ, Van Ileerden JA, McConahey WM: Follicular Thyroid Cáncer Treated at the Mayo Clinic, 1946 through 1970: Initial Manifestations, Pathologic Findings, Therapy, and Outcome. Mayo Clin Proc 66:11-22, 1991.
21. Maz/.aferri EL: Treating Differentiated Thyroid Carcinoma: Where Do We Draw the Line? Mayo Clin Proc 66:105-111, 1991.
22. Travagli JP, Blazquez, D, Schlumberger M et col: Le Traitement Chirurgical Initial des Epithéliomas Differencies de la Thyroide. Ann Endocrinol (París) 4:273-274, 1983.
23. Andry G, Chantrain G, Van Glabekke M, Dor P: Papillary and Follicular Thyroid Carcinoma: Individualization of the Treatment According to the Prognosis of the Disease. Eur J Cáncer Clin Oncol 24:1641- 1646, 1988.
24. Hay ID, GrantCS, Taylor WF, McConahey WM: Ipsilatcral Lobectomy versus Bilateral Ilesection in Papillary Thyroid Carcinoma: A Retrospcctive Analysis of Surgical Otucome Using a Novel Prognostic Scoring System. Surgcry 102:1088-1095,1987.
25. Cady B, Rossi R: An Expandcd Vicw of Risk-group Definition in Differentiated Thyroid Carcinoma. Surgery 104:947-953, 1987.
26. Becnken S, Guillamondcgui O, Shallcnbcrger R ct col: Prognostic Factors in Patients Dying of Well-Differcntiated Thyroid Cáncer. Arch Otolaryngol Head Neck Surg 115: 326-330,1989.
27. Cotran RS, Kumar V, RobbinsSL: Robbins Pathologic Basis of Disease, 4th ed., Philadelphia, WB Saunders Co, 1989, p 1233. ^8. Schwartz D: Méthodes statistiques a 1 usage des médecins et des biologistes, 3etne ed., París, Flammarion, 1963, p 97.
29. Fierro-Benítez R, Stanbury JB et col: Endemic Goiter and Endemic Cretinism in the Andean Región. N Engl J Mcd 280:296-299, 1969.
30. Belfiore A, La Rosa G, Padova G et col: The Frecuency of Cold Thyroid Nodules and Thyroid Malignancies in Patients From a lodine- Deficient Area. Cáncer 60:3096-3102, 1987.
31. Gaitan E, Nelson NC, Poole GY: Endemic Goiter and Endemic Thyroid Disordcrs. World J Surg 15:205-215,1991.
32. Thoresen SO, Akslen LA, Glattre E et col: Survival and Prognostic Factors in Differentiated Thyroid Cáncer. A Multivariate Analysis of 1055 Cases. Br J Cáncer 59:231-235, 1989.
33. Simpson WJ, McKinney SE, Carruthers JS et col: Papillary and Follicular Thyroid Cáncer; Prognostic Factors in 1578 Paticnts. Am J Medicine 83:478-488, 1987.
34. Cunningham MP, Duda RP, Recant W ct col: Survivals Discriminants for Differentiated Thyroid Cáncer. Am .) Surg 160:344- 347, 1990.
35. Kcrr DJ, Burt AD, Boylc et col: Prognostic Factors in Thyroid Tumors. Br J Cáncer 54: 475-482,1986.
36. Backdahl M, Wallin G, Auer G ct col: Colín - lar DNA Content in Thyroid Tumors. A Kc Hable Factor for Grading and Prognosis. In. Rohcr HD, Clark OH: Progress in Surgcry 19:40-33, 1988.
37. Hay ID: l'apillary Thyroid Carcinoma. I ndocrinol Metabolism Clin North America 19:545-576, 1990.
2. Beaugié JM, Brown CL, Doniach 1, Richardson JE: Prirnary Malignant Tumors of the Thyroid: The Relationship Between Histological Classification and Clinical Behavior. BrJ Surg 63:173-181,1976.
3. Wanebo H, Andrews W, Kaiser DL: Thyroid Cáncer: Some Basic Gonsiderations. Am J Surg 142:474-479, 1981.
4. Cohn KH, Backdahl M, Forsslund G et col: Biologie Considerations and Operative Strategy in Papillary Tyroid Carcinoma: Arguments Against Routine Performance of Total Thyroidectomy. Surgery 96:957-970, 1984.
5. Baker RR, Hyland J : Papillary Carcinoma of the Thyroid Gland. Surg Gynecol Obstet 161:546-550,1985. JR: Surgery for Thyroid Carcinoma. Cáncer 55:1376-1381,1985.
6. Crile G, Pontius KI, Ilawk WA: Factors Influencing the Survival of Patients with Follicular Carcinomaof the Thyroid Gland. Surg Gynecol Obstet 160:409-413, 1985.
7. Sha JP: Differentiated Thyroid Cáncer. In: Bloom HJG: Head and Neck Oncology, Raven Press, New York, 1986, p 207-214.
8. Stanaes’ IIF, Broofcs DC, Pinkus OS, Brooks JR: Surgery for Thyroid Carcinoma. Cáncer 55:1376-1381,1985.
9. Carcangiu ML, Zampi G, Pupi A et col: Papillary Carcinoma of the Thyroid. A Clinicopathologic Study of 241 Cases Treated at the University of Florence, Italy. Cáncer 55:805-828,1985.
10. Joensuu H, Klemi PJ, Paul R, Tuminen J: Survival and Prognostic Factors in Thyroid Carcinoma Acta Dadiol Oncology 25:243- 248, 1986.
11. Vickery AL, Wang C, Walker A: Treatment of Intrathyroidal Papillary Carcinoma of the Thyroid. Cáncer 60:2587-2595, 1987.
12. Friedman M, Deitch R, Grybauskas VT, Skolnik EM: Thyroid Carcinoma. Hematol Oncol Clin North America 2:363-373,1988.
13. Rodríguez Cuevas SA, Labastida S, Reyes JM et col: Cáncer de Tiroides en México: Análisis de 500 Casos. Oncología (México) 3:9-15,1988.
14. Ilarness JK, Thompson NW, McLcod MK: Follicular Carcinoma of the Thyroid Gland: Trends and Treatment. Surgery 96:972-980, 1984.
15. Bacourt F, Asselain B, Savoie JC et col: Multifactorial Study of Prognostic Factors in Differentiated Thyroid Carcinoma and a Re-evaluation of the Importance of Age. Br J Surg 73:274-277, 1986.
16. Gandon J, Barrault S: Cancers du Corpus Thyroide. Cours de Cancerologie Cervico- Faciaie, Institut Gustave Roussy, 1985 (monografía).
17. Chonkich GD, Petti GH, Goral W: Total thyroidectomy in the Treatment of Thyroid Disease. Laryngoscope 97:897-900, 1987.
18. Arriold RE, Edge BK: A Descriptive Experience of Total Thyroidectomy as the Initial Operation for Differentiated Carcinoma of the Thyroid. Am J Surg 158:396-398,1989.
19. Sarda AK, Bal S, Kapur MM: Near-total Thyroidectomy for Carcinoma of the Thyroid. Br J Surg 76:90-92,1989.
20. Brennan MD, Bergstralh EJ, Van Ileerden JA, McConahey WM: Follicular Thyroid Cáncer Treated at the Mayo Clinic, 1946 through 1970: Initial Manifestations, Pathologic Findings, Therapy, and Outcome. Mayo Clin Proc 66:11-22, 1991.
21. Maz/.aferri EL: Treating Differentiated Thyroid Carcinoma: Where Do We Draw the Line? Mayo Clin Proc 66:105-111, 1991.
22. Travagli JP, Blazquez, D, Schlumberger M et col: Le Traitement Chirurgical Initial des Epithéliomas Differencies de la Thyroide. Ann Endocrinol (París) 4:273-274, 1983.
23. Andry G, Chantrain G, Van Glabekke M, Dor P: Papillary and Follicular Thyroid Carcinoma: Individualization of the Treatment According to the Prognosis of the Disease. Eur J Cáncer Clin Oncol 24:1641- 1646, 1988.
24. Hay ID, GrantCS, Taylor WF, McConahey WM: Ipsilatcral Lobectomy versus Bilateral Ilesection in Papillary Thyroid Carcinoma: A Retrospcctive Analysis of Surgical Otucome Using a Novel Prognostic Scoring System. Surgcry 102:1088-1095,1987.
25. Cady B, Rossi R: An Expandcd Vicw of Risk-group Definition in Differentiated Thyroid Carcinoma. Surgery 104:947-953, 1987.
26. Becnken S, Guillamondcgui O, Shallcnbcrger R ct col: Prognostic Factors in Patients Dying of Well-Differcntiated Thyroid Cáncer. Arch Otolaryngol Head Neck Surg 115: 326-330,1989.
27. Cotran RS, Kumar V, RobbinsSL: Robbins Pathologic Basis of Disease, 4th ed., Philadelphia, WB Saunders Co, 1989, p 1233. ^8. Schwartz D: Méthodes statistiques a 1 usage des médecins et des biologistes, 3etne ed., París, Flammarion, 1963, p 97.
29. Fierro-Benítez R, Stanbury JB et col: Endemic Goiter and Endemic Cretinism in the Andean Región. N Engl J Mcd 280:296-299, 1969.
30. Belfiore A, La Rosa G, Padova G et col: The Frecuency of Cold Thyroid Nodules and Thyroid Malignancies in Patients From a lodine- Deficient Area. Cáncer 60:3096-3102, 1987.
31. Gaitan E, Nelson NC, Poole GY: Endemic Goiter and Endemic Thyroid Disordcrs. World J Surg 15:205-215,1991.
32. Thoresen SO, Akslen LA, Glattre E et col: Survival and Prognostic Factors in Differentiated Thyroid Cáncer. A Multivariate Analysis of 1055 Cases. Br J Cáncer 59:231-235, 1989.
33. Simpson WJ, McKinney SE, Carruthers JS et col: Papillary and Follicular Thyroid Cáncer; Prognostic Factors in 1578 Paticnts. Am J Medicine 83:478-488, 1987.
34. Cunningham MP, Duda RP, Recant W ct col: Survivals Discriminants for Differentiated Thyroid Cáncer. Am .) Surg 160:344- 347, 1990.
35. Kcrr DJ, Burt AD, Boylc et col: Prognostic Factors in Thyroid Tumors. Br J Cáncer 54: 475-482,1986.
36. Backdahl M, Wallin G, Auer G ct col: Colín - lar DNA Content in Thyroid Tumors. A Kc Hable Factor for Grading and Prognosis. In. Rohcr HD, Clark OH: Progress in Surgcry 19:40-33, 1988.
37. Hay ID: l'apillary Thyroid Carcinoma. I ndocrinol Metabolism Clin North America 19:545-576, 1990.
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Published
2017-06-16
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Pacheco Ojeda L. Pronóstico del cáncer papilar y folicular de tiroides. Rev Fac Cien Med (Quito) [Internet]. 2017 Jun. 16 [cited 2024 Jul. 3];16(3-4):67-75. Available from: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/709
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