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Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan

BACKGROUND: Many patients with papillary thyroid cancer (PTC) demonstrate satisfactory outcomes. However, 8%–28% of patients with PTC show tumor recurrence, which may affect prognosis. Therefore, identifying factors associated with tumor recurrence in patients with PTC may be helpful to refine thera...

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Autores principales: Sun, Jui-Hung, Li, Yan-Rong, Chang, Kuo-Hsuan, Liou, Miaw-Jene, Lin, Shu-Fu, Tsai, Sung-Sheng, Yu, Ming-Chin, Hsueh, Chuen, Chen, Szu-Tah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chang Gung University 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795347/
https://www.ncbi.nlm.nih.gov/pubmed/34808423
http://dx.doi.org/10.1016/j.bj.2021.11.009
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author Sun, Jui-Hung
Li, Yan-Rong
Chang, Kuo-Hsuan
Liou, Miaw-Jene
Lin, Shu-Fu
Tsai, Sung-Sheng
Yu, Ming-Chin
Hsueh, Chuen
Chen, Szu-Tah
author_facet Sun, Jui-Hung
Li, Yan-Rong
Chang, Kuo-Hsuan
Liou, Miaw-Jene
Lin, Shu-Fu
Tsai, Sung-Sheng
Yu, Ming-Chin
Hsueh, Chuen
Chen, Szu-Tah
author_sort Sun, Jui-Hung
collection PubMed
description BACKGROUND: Many patients with papillary thyroid cancer (PTC) demonstrate satisfactory outcomes. However, 8%–28% of patients with PTC show tumor recurrence, which may affect prognosis. Therefore, identifying factors associated with tumor recurrence in patients with PTC may be helpful to refine therapeutic strategies. METHODS: To identify factors associated with PTC recurrence, we retrospectively reviewed demographic features (sex and age), operation method, image character, serum thyroglobulin (Tg), accumulated radioactive iodine (I-131) therapeutic dose, I-131 uptake, and metastases at diagnosis in 829 patients with PTC. Patients were grouped into early (stage I and II; n = 698) and advanced (stage III and IV; n = 131) tumor-node-metastasis (TNM) stages. Recurrence rate, mortality rate, risk factors of recurrence, recurrent free survival and overall survival curve were compared between two groups. RESULTS: Patients in the early stage demonstrated a lower recurrence rate (7.2%) than did those in the advanced stage (28.2%, p < 0.05). The mortality rate of patients with recurrence in the advanced stage was higher than that of those in the early stage (51.4% vs. 12.0%). The major impact factors on tumor recurrence in early TNM stage were distant metastasis and lymph node metastasis, while in advanced TNM stage were distant metastasis, male gender, total thyroidectomy with limited lymph node dissection, and a high serum Tg level. CONCLUSIONS: Strategies to monitor tumor recurrence might be refined according to the TNM stages of PTC patients.
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spelling pubmed-97953472023-01-03 Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan Sun, Jui-Hung Li, Yan-Rong Chang, Kuo-Hsuan Liou, Miaw-Jene Lin, Shu-Fu Tsai, Sung-Sheng Yu, Ming-Chin Hsueh, Chuen Chen, Szu-Tah Biomed J Original Article BACKGROUND: Many patients with papillary thyroid cancer (PTC) demonstrate satisfactory outcomes. However, 8%–28% of patients with PTC show tumor recurrence, which may affect prognosis. Therefore, identifying factors associated with tumor recurrence in patients with PTC may be helpful to refine therapeutic strategies. METHODS: To identify factors associated with PTC recurrence, we retrospectively reviewed demographic features (sex and age), operation method, image character, serum thyroglobulin (Tg), accumulated radioactive iodine (I-131) therapeutic dose, I-131 uptake, and metastases at diagnosis in 829 patients with PTC. Patients were grouped into early (stage I and II; n = 698) and advanced (stage III and IV; n = 131) tumor-node-metastasis (TNM) stages. Recurrence rate, mortality rate, risk factors of recurrence, recurrent free survival and overall survival curve were compared between two groups. RESULTS: Patients in the early stage demonstrated a lower recurrence rate (7.2%) than did those in the advanced stage (28.2%, p < 0.05). The mortality rate of patients with recurrence in the advanced stage was higher than that of those in the early stage (51.4% vs. 12.0%). The major impact factors on tumor recurrence in early TNM stage were distant metastasis and lymph node metastasis, while in advanced TNM stage were distant metastasis, male gender, total thyroidectomy with limited lymph node dissection, and a high serum Tg level. CONCLUSIONS: Strategies to monitor tumor recurrence might be refined according to the TNM stages of PTC patients. Chang Gung University 2022-12 2021-11-19 /pmc/articles/PMC9795347/ /pubmed/34808423 http://dx.doi.org/10.1016/j.bj.2021.11.009 Text en © 2021 Chang Gung University. Publishing services by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Sun, Jui-Hung
Li, Yan-Rong
Chang, Kuo-Hsuan
Liou, Miaw-Jene
Lin, Shu-Fu
Tsai, Sung-Sheng
Yu, Ming-Chin
Hsueh, Chuen
Chen, Szu-Tah
Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan
title Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan
title_full Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan
title_fullStr Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan
title_full_unstemmed Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan
title_short Evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: A single-center observational study in Taiwan
title_sort evaluation of recurrence risk in patients with papillary thyroid cancer through tumor-node-metastasis staging: a single-center observational study in taiwan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795347/
https://www.ncbi.nlm.nih.gov/pubmed/34808423
http://dx.doi.org/10.1016/j.bj.2021.11.009
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