Tumor volume ratio as a predictive factor for lymph node metastases in thyroid papillary carcinoma in the central area
10.3760/cma.j.cn113855-20230512-00242
- VernacularTitle:甲状腺乳头状癌容积比与淋巴结转移关系的研究
- Author:
Yamei CHEN
1
;
Jie XU
;
Teng LI
;
Zhiwei LUO
;
Longlong WANG
Author Information
1. 内蒙古科技大学包头医学院研究生院,包头 014060
- Keywords:
Thyroid neoplasms;
Lymphatic metastasis;
Carcinoma, Papillary
- From:
Chinese Journal of General Surgery
2023;38(10):744-748
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between thyroid tumor volume ratio to lymph node metastasis in papillary thyroid carcinoma (PTC).Methods:The ratio of thyroid tumors volume to resected thyroid volume was measured by imaging methods before surgery, and the correlation between volume ratio and other clinicopathological features and lymph node metastasis in 134 patients with single focal PTC was analyzed.Results:The number of lymph node metastases was associated with age <45 years and invasion of the capsule ( r<0.300, P<0.05), and weakly correlated with gender, maximum tumor diameter, tumor volume and volume ratio. Among them, the correlation between patho-volume ratio was strongest ( r=0.379, P<0.001). Male genter was an independent risk factor for central cervical lymph node metastasis (χ 2=13.597 P<0.05). The co-predictions of sex and volume ratio was AUC=0.760, sensitivity=0.574 and specificity=0.818. Conclusion:Compared to the maximum diameter of tumors, the volume ratio in papillary thyroid carcinoma better predicts the metastasis of lymph nodes of papillary thyroid carcinoma in the central region.
