A retrospective gender-comparative evaluation of the prognostic factors in differentiated thyroid cancers
Journal Title: Ege Tıp Dergisi - Year 2017, Vol 56, Issue 2
Abstract
Aim: Differentiated thyroid cancers are the most common endocrine cancer types among all. Differentiated thyroid cancers are more common with women, but the prognosis tends to be poorer in men. This study aims to compare prognostic factors between genders in the patients who are being treated with a differentiated thyroid cancer diagnosis in İzmir Atatürk Research and Training Hospital Endocrinology Department. Materials and Methods: The 458 patients who were treated with a diagnosis of differentiated thyroid carcinoma in our department were included in this retrospective study.Results: Sixty-eight (14.8%) of the patients were male and 390 (85.2%) of the patients were female. The mean age of the patients included in the study was 49.8 (±12.6) at the time of diagnosis. The mean age of the male and female patients were 54.6 (±13.6) and 48.9 (±12.2), respectively (p<0.05). The medium value of the tumor size of the patients was 11.5 mm, whereas 13.5 mm in men and 11.0 mm in women (p<0.05). Lymph node metastasis was detected in 40 (18.6%) patients. In patients with lymph node metastasis, 11 (16.1%) were male. The rate of lymph node metastasis were higher in men (p<0.05). In this study, the mean age and the tumor size at the time of diagnosis and the percentage of the lymph node metastasis in men was found significantly higher than that of women.Conclusion: Differentiated thyroid cancers tend to have poor prognosis in men and this may be due to being diagnosed on an advanced age and with a larger size.
Authors and Affiliations
Mustafa Demirpençe, Hamiyet Yılmaz, Pelin Tütüncüoğlu, Ahmet Görgel, Mithat Bahçeci
Risk factors for febrile neutropenic attacks in patients who were given chemotherapy treatment for hematological malignancies
Aim: Febrile neutropenic attacks are an important problem during and after chemotherapy. We retrospectively reviewed the records of patients who were administered chemotherapy treatment to identify the risk factors for f...
An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland
Primary squamous cell carcinoma of the thyroid gland (PSCCT) is a rare disease which accounts less than 1% of all thyroid cancers. Patients usually present with enlarging neck mass. In this paper we presented a 76-year-o...
Premature infant with neonatal abstinence syndrome
Neonatal abstinence syndrome (NYS) is a clinical condition characterized by physical dependence and withdrawal symptoms after prenatal exposure to addictive substances. These symptoms are self-limiting and usually do not...
Approach to the adnexal masses in pregnancy due to a case
With the widespread use of ultrasound in pregnancy, adnexal masses are more frequently detected. Most of these masses are diagnosed incidentally at the first trimester screening. In the management of adnexal masses, obse...
Verruciform xanthoma with negative human papilloma virus (HPV): Rare benign tumor of scrotum
Verruciform xanthoma is a very rare benign neoplasia that usually involves the oral cavity. It was reported that arises on vulva, scrotum, penis, the anal region and the extremities with a small number of cases outside t...