Is screening for thyroid carcinoma indicated in familial adenomatous polyposis?

被引:72
作者
Bulow, C
Bulow, S
Berk, T
Bertario, L
Church, J
Evans, G
Neale, K
Park, JG
RodriguezBigas, M
SeowChoen, F
Vasen, H
Winde, G
机构
[1] Danish Polyposis Register, Dept. of Surgical Gastroenterology, University of Copenhagen, Hvidovre
[2] Familial Gastrointest. Cancer R., Mount Sinai Hospital, Toronto, Ont.
[3] Italian Polyposis Registry, Milan, c/o A.I. Stom
[4] Familial Polyposis Registry, Cleveland Clinic Foundation, Cleveland, OH
[5] N. Western Region Polyposis Registry, St. Mary's Hospital, Manchester
[6] Polyposis Registry, St. Mark's Hospital, London
[7] Korean Polyposis Registry, Seoul National University Hospital, Seoul
[8] Familial Polyposis Registry, Roswell Park Cancer Institute, Buffalo, NY
[9] Singapore Polyposis Registry, Singapore General Hospital
[10] Dutch Polyposis Registry, University Hospital Leiden, Leiden
[11] Münster Polyposis Registry, University of Münster, Münster
[12] Dept. of Surgical Gastroenterology, Hvidovre Hospital, DK-2650 Hvidovre
关键词
D O I
10.1007/s003840050097
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Forty-five polyposis patients with thyroid carcinoma constituted 1.2% of the patients in the Leeds Castle Polyposis Group database, The patients were diagnosed during 1959-1995: 44 were females at a median age of 25 years (range 10-40) and 37 (82%) had papillary carcinoma. At the end of 1995 only one patient (9%) had died from thyroid carcinoma, and the ten-year cumulative survival was 84% (95% confidence limits 72-97), Due to the low incidence of thyroid carcinoma in FAP and the good prognosis we do not recommend a regular thyroid screening in polyposis, as this is unlikely to result in a reduction of the mortality. but will only aggravate existing cancrophobia in these strained patients.
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页码:240 / 242
页数:3
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