scholarly journals Correlation Analysis of Nodular Sonographic Parameters with Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma

2021 ◽  
Author(s):  
Liuhua Zhou ◽  
Qiaodan Zhu ◽  
Jincao Yao ◽  
Chen Yang ◽  
Dong Xu
Keyword(s):  
Aspect Ratio ◽  
Thyroid Carcinoma ◽  
Cervical Lymph Node Metastasis ◽  
Tumor Diameter ◽  
Papillary Thyroid ◽  
Cross Sectional ◽  
Node Metastasis ◽  
Logistic Analysis ◽  
Maximum Tumor Diameter ◽  
Multivariate Logistic Analysis

Abstract Objective Papillary thyroid carcinoma (PTC) is the most common thyroid carcinoma, and is prone to cervical lymph node metastasis (CLNM). We aim to analyze the correlation between clinical information, ultrasonic parameters of PTC and CLNM. Methods 1335 patients who had pathologically confirmed unifocal PTC were enrolled. Univariate and multivariate logistic analysis were performed to predict CLNM in PTC patients. The receiver operating characteristic (ROC) curve was used to evaluate the diagnostic performance. Results Univariate analysis showed that gender, age, maximum tumor diameter and volume, cross-sectional and longitudinal aspect ratio were related to CLNM (P < 0.05). Multivariate logistic analysis showed that gender, age, maximum tumor diameter and volume were independent correlative factors, cross-sectional aspect ratio had significant difference for PTC patients excluding PTMC to predict CLNM. The area under the curve (AUC) of the maximum tumor diameter and volume was 0.738 and 0.733, respectively. Maximum tumor diameter and volume, and cross-sectional and longitudinal aspect ratio were statistically significant following analysis of variance (P < 0.05). Conclusions Younger age, male, and larger tumor were high risk factors for CLNM in patients with unifocal PTC. Cross-sectional aspect ratio had a more effective predictive value for CLNM in patients with larger thyroid tumors.

scholarly journals Correlation Analysis of Nodular Sonographic Parameters with Cervical Lymph Node Metastases in Papillary Thyroid Carcinoma

2021 ◽  
Author(s):  
Liuhua Zhou ◽  
Qiaodan Zhu ◽  
Jincao Yao ◽  
Chen Yang ◽  
Dong Xu
Keyword(s):  
Aspect Ratio ◽  
Thyroid Carcinoma ◽  
Cervical Lymph Node ◽  
Tumor Diameter ◽  
Papillary Thyroid ◽  
Cross Sectional ◽  
Logistic Analysis ◽  
Maximum Tumor Diameter ◽  
Node Metastases ◽  
Multivariate Logistic Analysis

Abstract Background Papillary thyroid carcinoma (PTC) is the most common thyroid carcinoma, and is prone to cervical lymph node metastases (CLNM). We aim to analyze the correlation between clinical information, ultrasonic parameters of PTC and CLNM. Methods 1335 patients who had pathologically confirmed unifocal PTC were enrolled. Univariate and multivariate logistic analysis were performed to predict CLNM in PTC patients. The receiver operating characteristic (ROC) curve was used to evaluate the diagnostic performance. Results Univariate analysis showed that gender, age, maximum tumor diameter and volume, cross-sectional and longitudinal aspect ratio were related to CLNM (P<0.05). Multivariate logistic analysis showed that gender, age, maximum tumor diameter and volume were independent correlative factors, cross-sectional aspect ratio had significant difference for PTC2 to predict CLNM. The area under the curve (AUC) of the maximum tumor diameter and volume was 0.738 and 0.733, respectively. Maximum tumor diameter and volume, and cross-sectional and longitudinal aspect ratio were statistically significant following analysis of variance (P < 0.05). Conclusions Younger age, male, and larger tumor were high risk factors for CLNM in patients with unifocal PTC. Cross-sectional aspect ratio had a more effective predictive value for CLNM in patients with larger thyroid tumors.

scholarly journals Correlation Analysis of Papillary Thyroid Carcinoma on Sonographic Features and Cervical Lymph Node Metastasis

2020 ◽  
Author(s):  
Liuhua Zhou ◽  
Qiaodan Zhu ◽  
Jincao Yao ◽  
Di Ou ◽  
Chen Yang ◽  
...  
Keyword(s):  
Aspect Ratio ◽  
Thyroid Carcinoma ◽  
Univariate Analysis ◽  
Cervical Lymph Node Metastasis ◽  
Maximum Diameter ◽  
Papillary Thyroid ◽  
Cross Sectional ◽  
Node Metastasis ◽  
Logistic Analysis ◽  
Echogenic Foci

Abstract Background Papillary thyroid carcinoma (PTC) is the most common pathological type of thyroid carcinoma. We aim to evaluate the correlation between sonographic features of PTC and cervical lymph node metastasis (CLNM). Methods A total of 1335 patients who underwent thyroidectomy and had pathologically confirmed unifocal PTC were enrolled in the retrospective research. Univariate analysis and logistic analysis were performed to predict CLNM by several independent variables. Receiver operating characteristic (ROC) curve was executed to evaluate the diagnostic performance. Results Univariate analysis showed that location, aspect ratio, margin, echogenic foci, TI-RADS score and grade were related to CLNM (P<0.05). Logistic analysis on sonographic features showed that margin and echogenic foci were independent correlative factors. Meanwhile, logistic analysis included clinical information, ultrasonic measurements and sonographic features showed that gender, age, tumour maximum diameter and volume, cross-sectional aspect ratio, location, margin and echogenic foci were independent correlative factors. The ROC curves were established based on the relevant factors, the AUC of tumour maximum diameter, tumour volume and margin were 0.738, 0.733, and 0.711, respectively. The regression model was constructed with AUC of 0.813, specificity of 70.3%, and sensitivity of 78.5%. ANOVA variance analysis on positive and negative group, tumour maximum diameter, margin, echogenic foci, TI-RADS score and grade had statistical significance (P < 0.05). Conclusion Lower location, larger lesion, margin and echogenic foci were high risk factors for CLNM in PTC, cross-sectional aspect ratio≥1 had more effective predictive value than longitudinal-sectional aspect ratio. Tumor volume was more effective to evaluate the lateral metastasis than maximum tumour diameter, it could guide preoperative FNA for CLNM.

Correlation Analysis of Nodular Sonographic Measurements with Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma

2020 ◽  
Author(s):  
Liuhua Zhou ◽  
Qiaodan Zhu ◽  
Jincao Yao ◽  
Chen Yang ◽  
Dong Xu
Keyword(s):  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Thyroid Carcinoma ◽  
Univariate Analysis ◽  
Cervical Lymph Node Metastasis ◽  
Maximum Diameter ◽  
Papillary Thyroid ◽  
Cross Sectional ◽  
Node Metastasis ◽  
Logistic Analysis

Abstract Background Papillary thyroid carcinoma (PTC) is the most common thyroid carcinoma, which is prone to cervical lymph node metastasis (CLNM). We aim to analyze the correlation between clinical information, ultrasonic (US) measurements of PTC and CLNM. Methods A total of 1335 patients who underwent thyroidectomy and had pathologically confirmed unifocal PTC were enrolled in the retrospective research. Univariate analysis and logistic analysis were performed to predict CLNM in PTC. Receiver operating characteristic (ROC) curve was used to evaluate the diagnostic performance. Results Univariate analysis showed that gender, age, tumour maximum diameter and volume, cross-sectional and longitudinal aspect ratio were related to CLNM (P<0.05). Logistic analysis showed that gender, age, tumour maximum diameter and volume were independent correlative factors. The ROC curve was established based on the correlative factors screened by regression analysis. The AUC of the tumour maximum diameter and volume was 0.738 and 0.733, respectively. ANOVA variance analysis on positive and negative group, tumour maximum diameter and volume, cross-sectional and longitudinal aspect ratio had statistical significance (P < 0.05). Conclusion Independent correlative factors for CLNM in patients with unifocal PTC were younger age, male, larger tumour. For tumour with larger volume, central, lateral or both lymph node metastasis should be checked in advance, it would rule as a guidance to perform FNA for CLNM before surgery.

scholarly journals Cooccurrence of Metastatic Papillary Thyroid Carcinoma andSalmonellaInduced Neck Abscess in a Cervical Lymph Node

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Jae-Myung Kim ◽  
Ju-Yeon Kim ◽  
Eun Jung Jung ◽  
Eun Jin Song ◽  
Dong Chul Kim ◽  
...  
Keyword(s):  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Lymph Node Metastasis ◽  
Thyroid Carcinoma ◽  
Cervical Lymph Node ◽  
Cervical Lymph Node Metastasis ◽  
Salmonella Typhi ◽  
Cystic Mass ◽  
Papillary Thyroid ◽  
Node Metastasis

Cervical lymph node metastasis is common in patients with papillary thyroid carcinoma (PTC).Salmonellaspecies are rarely reported as causative agents in focal infections of the head and neck. The cooccurrence of lymph node metastasis from PTC and a bacterial infection is rare. This report describes a 76-year-old woman with a cervical lymph node metastasis from PTC andSalmonellainfection of the same lymph node. The patient presented with painful swelling in her left lateral neck region for 15 days, and neck ultrasonography and computed tomography showed a cystic mass along left levels II–IV. The cystic mass was suspected of being a metastatic lymph node; modified radical neck dissection was performed. Histopathological examination confirmed the presence of PTC in the resected node and laboratory examination of the combined abscess cavity confirmed the presence ofSalmonella Typhi. Following antibiotic sensitivity testing of the culturedSalmonella Typhi, she was treated with proper antibiotics. Cystic lesions in lymph nodes with metastatic cancer may indicate the presence of cooccurring bacterial infection. Thus, culturing of specimen can be option to make accurate diagnosis and to provide proper postoperative management.

scholarly journals Prediction of Ipsilateral Lateral Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma: A Combined Dual-energy CT and Thyroid Functional Indicators Study

2020 ◽  
Author(s):  
Ying Zou ◽  
Huanlei Zhang ◽  
Wenfei Li ◽  
Yu Guo ◽  
Fang Sun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Lymph Node Metastasis ◽  
Thyroid Carcinoma ◽  
Cervical Lymph Node ◽  
Cervical Lymph Node Metastasis ◽  
Dual Energy ◽  
Papillary Thyroid ◽  
Node Metastasis

Abstract BackgroundThe prediction of ipsilateral lateral cervical lymph node metastasis (ipsi-LLNM) was crucial to the operation plan in patients with papillary thyroid carcinoma (PTC). This study aimed to investigate the risk factors for ipsi-LLNM using dual-energy computed tomography (DECT) and thyroid functional indicators in patients with PTC. MethodsThe medical records of 406 patients with a pathological diagnosis of PTC were retrospectively reviewed from Jan 2016 to Dec 2019. Demographic, clinical, pathological findings, and parameters from DECT were evaluated. Risk factors for ipsi-LLNM were explored by univariate and multivariate analyses. Receiver operating characteristic (ROC) curves were used to evaluate the cut-off value of each risk factor.ResultsTotally 406 patients with PTC were analyzed, including 128 with ipsi-LLNM and 278 without. There were statistical differences of parameters between the two groups (P < .0001), including serum Tg, Anti-Tg, Anti-TPO, the volume of the primary lesion, calcification, extrathyroidal extension (ETE), and iodine concentration (IC) in arterial and venous phases. Independent risk factors for ipsi-LLNM included serum Tg, Anti-Tg, ETE, and IC in arterial and venous phases (P < .05). Ipsi-LLNM was more likely to occur when the following conditions were met: with ETE, Tg > 100.01 ng/ml, Anti-Tg > 89.43 IU/ml, IC in arterial phase > 3.4 mg/ml and IC in venous phase > 3.1 mg/ml.ConclusionsApplication of DECT parameters and thyroid functional indicators can improve the diagnostic performance in the evaluation of ipsi-LLNM in patients with PTC.

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