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A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma
BACKGROUND: Thyroid carcinoma is one of the most common endocrine tumors, and papillary thyroid carcinoma (PTC) is the most common pathological type. Current studies have reported that PTC has a strong propensity for central lymph node metastases (CLNMs). Whether to prophylactically dissect the cent...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9243300/ https://www.ncbi.nlm.nih.gov/pubmed/35784530 http://dx.doi.org/10.3389/fendo.2022.856278 |
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author | Wang, Zipeng Chang, Qungang Zhang, Hanyin Du, Gongbo Li, Shuo Liu, Yihao Sun, Hanlin Yin, Detao |
author_facet | Wang, Zipeng Chang, Qungang Zhang, Hanyin Du, Gongbo Li, Shuo Liu, Yihao Sun, Hanlin Yin, Detao |
author_sort | Wang, Zipeng |
collection | PubMed |
description | BACKGROUND: Thyroid carcinoma is one of the most common endocrine tumors, and papillary thyroid carcinoma (PTC) is the most common pathological type. Current studies have reported that PTC has a strong propensity for central lymph node metastases (CLNMs). Whether to prophylactically dissect the central lymph nodes in PTC remains controversial. This study aimed to explore the risk factors and develop a predictive model of CLNM in PTC. METHODS: A total of 2,554 patients were enrolled in this study. The basic information, laboratory examination, characteristics of cervical ultrasound, genetic test, and pathological diagnosis were collected. The collected data were analyzed by univariate logistic analysis and multivariate logistic analysis. The risk factors were evaluated, and the predictive model was constructed of CLNM. RESULTS: The multivariate logistic analysis showed that Age (p < 0.001), Gender (p < 0.001), Multifocality (p < 0.001), BRAF (p = 0.027), and Tumor size (p < 0.001) were associated with CLNM. The receiver operating characteristic curve (ROC curve) showed high efficiency with an area under the ROC (AUC) of 0.781 in the training group. The calibration curve and the calibration of the model were evaluated. The decision curve analysis (DCA) for the nomogram showed that the nomogram can provide benefits in this study. CONCLUSION: The predictive model of CLNM constructed and visualized based on the evaluated risk factors was confirmed to be a practical and convenient tool for clinicians to predict the CLNM in PTC. |
format | Online Article Text |
id | pubmed-9243300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92433002022-07-01 A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma Wang, Zipeng Chang, Qungang Zhang, Hanyin Du, Gongbo Li, Shuo Liu, Yihao Sun, Hanlin Yin, Detao Front Endocrinol (Lausanne) Endocrinology BACKGROUND: Thyroid carcinoma is one of the most common endocrine tumors, and papillary thyroid carcinoma (PTC) is the most common pathological type. Current studies have reported that PTC has a strong propensity for central lymph node metastases (CLNMs). Whether to prophylactically dissect the central lymph nodes in PTC remains controversial. This study aimed to explore the risk factors and develop a predictive model of CLNM in PTC. METHODS: A total of 2,554 patients were enrolled in this study. The basic information, laboratory examination, characteristics of cervical ultrasound, genetic test, and pathological diagnosis were collected. The collected data were analyzed by univariate logistic analysis and multivariate logistic analysis. The risk factors were evaluated, and the predictive model was constructed of CLNM. RESULTS: The multivariate logistic analysis showed that Age (p < 0.001), Gender (p < 0.001), Multifocality (p < 0.001), BRAF (p = 0.027), and Tumor size (p < 0.001) were associated with CLNM. The receiver operating characteristic curve (ROC curve) showed high efficiency with an area under the ROC (AUC) of 0.781 in the training group. The calibration curve and the calibration of the model were evaluated. The decision curve analysis (DCA) for the nomogram showed that the nomogram can provide benefits in this study. CONCLUSION: The predictive model of CLNM constructed and visualized based on the evaluated risk factors was confirmed to be a practical and convenient tool for clinicians to predict the CLNM in PTC. Frontiers Media S.A. 2022-06-16 /pmc/articles/PMC9243300/ /pubmed/35784530 http://dx.doi.org/10.3389/fendo.2022.856278 Text en Copyright © 2022 Wang, Chang, Zhang, Du, Li, Liu, Sun and Yin https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Wang, Zipeng Chang, Qungang Zhang, Hanyin Du, Gongbo Li, Shuo Liu, Yihao Sun, Hanlin Yin, Detao A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma |
title | A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma |
title_full | A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma |
title_fullStr | A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma |
title_full_unstemmed | A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma |
title_short | A Clinical Predictive Model of Central Lymph Node Metastases in Papillary Thyroid Carcinoma |
title_sort | clinical predictive model of central lymph node metastases in papillary thyroid carcinoma |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9243300/ https://www.ncbi.nlm.nih.gov/pubmed/35784530 http://dx.doi.org/10.3389/fendo.2022.856278 |
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