Association of lymphovascular invasion with metastasis (loco-regional lymph node or distant) among adult Filipino patients with papillary thyroid carcinoma: A case control study
- Author:
Eric Ray D. Linchangco
1
;
Irene S. Bandong
1
;
Gerard Fabian L. Goco
1
Author Information
1. Department of Nuclear Medicine, St. Lukes Medical Center, E. Rodriguez Sr. Avenue, Quezon City
- Publication Type:Other Types
- Keywords:
Lymphovascular invasion;
Radioactive iodine therapy;
Dose activity of- 131
- MeSH:
Thyroid Cancer, Papillary
- From:
The Philippine Journal of Nuclear Medicine
2018;13(2):38-43
- CountryPhilippines
- Language:English
-
Abstract:
Background/Objective:Papillary thyroid carcinoma is the most common type of thyroid cancer. Treatment includes surgery and remnant ablation with radioactive iodine theraphy while follow-up monitoring includes I- 131 whole body scans land thyroglobulin monitoring. Lymphovascular invasion (LVI) has been used as a predictor of metastasis in different cancers. Therefore, it might be useful in predicting metastasis in patients with papillary thyroid carcinoma since metastasis in this type of carcinoma travels via the lymphatic route. The purpose of this study was to determine the association of LVI with metastasis among patients with papillary thyroid carcinoma
Methodology:Records of patients with papillary thyroid carcinoma (histopathologic reports, thyroglobulin levevls and I-131 whole body scans) were reviewed. Univariate and multivariate anlyses were performed.
Results:A total of 108 subjects were recruited for this study, 47 (43.5%) of which had LVI. There was no association found between LVI and metastasis on baseline (p=0.72) and follow-up scans (p=0.07). However, there was an association between metastasis resolution on follow-up scans and high-dose radioactive treatment (p=0.02) regarless of presence or absence of LVI.
Conclusion:There was a significant association of the presence of LVI with elevated thyroglobulin levels (p-value<0.0001). A significant association was also seen with LVI and dose of activity with resolution of thyroid remnant, locoregional lymph node and distant metastasis (p=0.02). Even though no association jwas seen between LVI and metastasis, a robust percentage of patients with LVI were positive for metastasis on whole body scans.
- Full text:pjnm.pdf
