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01). The median follow-up period of the patients was 31.6 months (95% CI 25.1-39.3). Overall survival was 43.4 months in the down-staging (+) group (95% CI 25.1-61.6) and 31.6 months in the down-staging (-) group (95% CI 12.7-50.6). Although there was a numerical difference, it did not reach statistical significance (p=0.37).
The rate of down-staging after platinum-based neoadjuvant chemotherapy is significantly higher in patients with low galectin-3 staining in transurethral bladder biopsy tissue.
The rate of down-staging after platinum-based neoadjuvant chemotherapy is significantly higher in patients with low galectin-3 staining in transurethral bladder biopsy tissue.
We aimed to explore the efficacy and safety of iodine-131 (131I) therapy in children and adolescents with differentiated thyroid carcinoma (DTC), and to analyze the possible factors affecting the efficacy.
A retrospective analysis was performed on the clinical data of 94 children and adolescent DTC patients aged ≤21 years old, who received 131I therapy. The efficacy was assessed, and the levels of serum thyroglobulin (Tg) and Tg antibody (TGAb), and adverse reactions were observed. Besides, the possible influencing factors for the efficacy were explored.
There were 79 cases of overall response (84.0%) and 15 cases of no response (16.0%). Besides, the initial 131I ablation of thyroid remnants was efficacious in 61 (64.9%) patients, but not in 33 (35.1%) patients who continued to receive the subsequent 131I therapy. As of June 2019, 18 (54.5%) patients reached remission, whereas the other 15 (45.5%) patients failed to reach remission. Of 23 patients with distant metastases in the lungs, there were 8 cases of lesion elimination, 12 cases of improvement or stable disease and 3 cases of no response or progressive disease after 131I therapy. Among 44 patients with only lymph node metastasis, 28 patients were negative for the whole-body 18F-FDG tumor imaging. Moreover, the whole-body 18F-FDG tumor imaging was positive in 16 patients. Furthermore, the clinical tumor stage and pre-treatment Tg and RAIU were found to be the independent influencing factors for the efficacy of 131I therapy.
131I therapy is exactly effictive in treating DTC in children and adolescents, and the clinical tumor stage and pre-treatment Tg and RAIU are the major factors affecting the efficacy.
131I therapy is exactly effictive in treating DTC in children and adolescents, and the clinical tumor stage and pre-treatment Tg and RAIU are the major factors affecting the efficacy.
The purpose of this study was to explore the efficacy and safety of total endoscopic thyroidectomy (TET) via breast areola approach in the treatment of early differentiated thyroid cancer.
The clinical data of 134 patients with early differentiated thyroid cancer were retrospectively analyzed. The patients underwent different treatments, including TET via breast areola approach in endoscope group (n=67), and conventional small incision open surgery in control group (n=67). The surgery-related indexes, complications, postoperative incision recovery, visual analogue scale (VAS) pain score, postoperative patients' satisfaction, tumor recurrence and survival conditions were compared between the two groups.
Compared with control group, the endoscope group showed significantly longer operation time, smaller intraoperative bleeding, less postoperative drainage, shorter duration of postoperative catheter indwelling and shorter postoperative length of stay. MS1943 Meanwhile, in the endoscope group, the postoperative VAS pain score was markedly lower than that in control group, and the postoperative patients' satisfaction was higher than that in control group. The neurological severity score (NSS) had statistically significant differences between the two groups at 3 months and 6 months after operation. Moreover, no tumor recurrence and metastasis were found during the follow-up period.
TET via breast areola approach is safe and effective in the treatment of early differentiated thyroid cancer, and it can achieve a better cosmetic effect and high satisfaction of patients, which is worthy of clinical application.
TET via breast areola approach is safe and effective in the treatment of early differentiated thyroid cancer, and it can achieve a better cosmetic effect and high satisfaction of patients, which is worthy of clinical application.
In the present study, we sought to investigate the presence of Parvovirus B19 in both abnormal and normal adjacent thyroid tissue specimens after total thyroidectomy as well as the extent that this phenomenon occurs in a population group referred to a tertiary surgical oncology department.
We detected Parvovirus B19 by Real-Time PCR in both abnormal and normal adjacent thyroid tissue specimens from 41 patients who underwent total thyroidectomy for thyroid disease (cancerous or benign). Hashimoto's thyroiditis, thyroid gland weight, maximum size of the predominant thyroid nodule as well as sex and age of the patients were also evaluated in respect to the Parvovirus B19 presence.
Parvovirus B19 virus genome was detected in 21/41 (51.2%) patients in at least one of the paired thyroid tissue samples. No statistically significant difference was noted regarding the sex, age, postoperative diagnosis, thyroid weight and maximum nodule diameter and presence of multifocal disease. The correlation between the incidence of Hashimoto thyroiditis and absence of Parvovirus B19 genome was statistically significant.
Our findings showed high prevalence of Parvovirus B19 DNA in thyroid tissue disease in the population examined. Its actual role of the virus and its potential implication in the development or progression of thyroid diseases remain to be elucidated. Larger cohort studies are needed in order to validate a quasi-mutually exclusive role of Hashimoto's thyroiditis and Parvovirus B19 presence in thyroid disease in terms of geographical distribution.
Our findings showed high prevalence of Parvovirus B19 DNA in thyroid tissue disease in the population examined. Its actual role of the virus and its potential implication in the development or progression of thyroid diseases remain to be elucidated. Larger cohort studies are needed in order to validate a quasi-mutually exclusive role of Hashimoto's thyroiditis and Parvovirus B19 presence in thyroid disease in terms of geographical distribution.
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