Characteristics of recurrent papillary thyroid cancer in metabolic syndrome patients
10.7652/jdyxb201801005
- VernacularTitle:甲状腺乳头状癌合并代谢综合征患者的复发特点
- Author:
tao De YIN
1
;
nan Hua HE
;
sheng Run MA
;
qiang Hong LI
;
fei Yong WANG
;
hua Jin JIANG
;
duan Qing WANG
Author Information
1. 郑州大学第一附属医院甲状腺外科
- Keywords:
metabolic syndrome;
obesity;
papillary thyroid cancer;
recurrence;
lymphatic metastasis
- From:
Journal of Xi'an Jiaotong University(Medical Sciences)
2018;39(1):17-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics and components of recurrent papillary thyroid cancer in patients with metabolic syndrome .Methods We retrospectively reviewed the information of the patients with recurrent papillary thyroid cancer after initial surgery during January 1st ,2010 and December 31st ,2015 in the First Affiliated Hospital of Zhengzhou University .We compared tumor size ,lymph node metastasis ,recurrence time and postoperative invasion rate in metabolic syndrome and non-metabolic syndrome groups . Results Totally 82 patients were included with 34 men and 48 women .There was no significant difference between patients with and those without metabolic syndrome grouped by the classic diagnosis approach .However ,the lymph node metastasis grade of recurrent papillary thyroid cancer patients who also suffered from at least two metabolic disorders ,was lower ,especially in women (P=0 .002) .Moreover ,patients with metabolic disorders had shorter recurrence time (Pdiabetes=0 .034 , Pdyslipidemia =0 .037 , PBMI =0 .004 , PMetS2 =0 .036) .Conclusion Papillary thyroid cancer patients with metabolic disorder ,especially with two or more components of metabolic syndrome and overweight and/or obesity ,may have an increasing risk of recurrence .
