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ORIGINAL RESEARCH article
Front. Endocrinol.
Sec. Thyroid Endocrinology
Volume 15 - 2024 |
doi: 10.3389/fendo.2024.1453601
Long-term efficacy of lobectomy for stage T1 papillary thyroid carcinoma with varying degrees of lymph node metastasis
Provisionally accepted
Chao Qin
1,2
Sijia Cai
1,2*
Yanyu Qi
1,2,3
Meilin Liu
3*
Weibo Xu
1,2
Min Yin
1,2
Haitao Tang
1,2*
Qing-Hai Ji
1,2
Tian Liao
1,2*
Yu Wang
1,2*- 1 Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
- 2 Department of Oncology, Shanghai Medical College of Fudan University, Shanghai, Shanghai, China
- 3 Shanghai Medical College, Fudan University, Shanghai, Shanghai Municipality, China
The presence of lymph node metastasis (LNM) is frequently observed in papillary thyroid carcinoma (PTC), and most clinical guidelines recommend total thyroidectomy. However, the impact of LNM on specific types of locoregional recurrence remains uncertain, particularly for stage T1 PTC.The present retrospective cohort study enrolled patients diagnosed with stage T1 PTC between 2008 and 2015. Propensity score matching was performed in patients with lobectomy accompanied by varying degrees of LNM. Logistic regression analysis was performed to compare the effect of LNM on relapse types, and Kaplan-Meier method was utilized to calculate recurrence-free survival.The study cohort comprised 2,785 patients who were followed up for an average duration of 69 months. After controlling follow-up time and potential prognostic factors, we include a total of 362 patients in each group. Recurrence rates in the N0, N1a, and N1b groups were found to be 2.5%, 9.7%, and 10.2% respectively. Notably, group N1a versus group N0 (P=0.803), N1b group versus N0 group (P=0.465), and group N1b versus group N1a (P=0.344) had no difference in residual thyroid recurrence. However, when considering lymph node recurrence, both N1a(P=0.003) and N1b(P=0.009) groups showed a higher risk than N0 group. In addition, there was no difference in lymph node recurrence between N1b group and N1a group (P=0.364), but positive lymph node (PLN) and lymph node positive rate (LNPR) demonstrated a strong discriminatory effect (P<0.001).Lobectomy may be more appropriate for patients with unilateral stage T1 PTC in the low LNPR group.
Keywords: Papillary thyroid carcinoma, lymph node metastasis, lymph node positive rate, N stage, Recurrence
Received: 23 Jun 2024; Accepted: 24 Jul 2024.
Copyright: © 2024 Qin, Cai, Qi, Liu, Xu, Yin, Tang, Ji, Liao and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Sijia Cai, Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
Meilin Liu, Shanghai Medical College, Fudan University, Shanghai, 200032, Shanghai Municipality, China
Haitao Tang, Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
Tian Liao, Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
Yu Wang, Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
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