World Journal of Surgery

, Volume 37, Issue 2, pp 385–391 | Cite as

Preoperative Prediction of Central Lymph Node Metastasis in Thyroid Papillary Microcarcinoma Using Clinicopathologic and Sonographic Features

  • Kyung-Eun Kim
  • Eun-Kyung Kim
  • Jung Hyun Yoon
  • Kyung Hwa Han
  • Hee Jung Moon
  • Jin Young Kwak
Article

Abstract

Background

The purpose of the present study was to evaluate the clinicopathologic factors and ultrasound (US) features predictive of central lymph node metastasis (LNM) in patients diagnosed with papillary thyroid microcarcinoma (PTMC).

Methods

From March 2008 to August 2008, the clinicopathologic features and preoperative US features of 483 patients who were diagnosed with conventional PTMC were included. Medical records, US features, and pathology reports of all patients were retrospectively reviewed. Univariate and multivariate analysis was performed to identify clinicopathological prognostic factors associated with central LNM. Odds ratios (OR) with relative 95 % confidence intervals (95 % CI) were calculated to determine the relevance of all potential predictors of central LNM.

Results

Among the 483 patients with PTMC, 139 (28.8 %) patients had central LNM. The OR of significant independent factors were 2.055 (95 % CI, 1.137–3.716), 2.075 (95 % CI, 1.27–3.39), 1.71 (95 % CI, 1.073–2.724), and 15.897 (95 % CI, 4.173–60.569), respectively, for bilaterality, larger tumor size (>5 mm), extracapsular invasion, and lateral LNM. No significant association was seen among the US features of PTMC with central LNM.

Conclusions

Central lymph node metastasis in patients with PTMC was significantly associated with various clinicopathological factors, including larger tumor size (>5 mm), bilaterality, extracapsular invasion, and lateral LNM. When these features are detected on preoperative US, selective central compartment dissection may be helpful in patients diagnosed with PTMC.

Notes

Conflict of interest

None.

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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Kyung-Eun Kim
    • 1
  • Eun-Kyung Kim
    • 1
  • Jung Hyun Yoon
    • 2
  • Kyung Hwa Han
    • 3
  • Hee Jung Moon
    • 1
  • Jin Young Kwak
    • 1
  1. 1.Department of RadiologyResearch Institute of Radiological Science, Yonsei University College of MedicineSeodaemoon-gu, SeoulSouth Korea
  2. 2.Department of RadiologyCHA Bundang Medical Center, College of Medicine, CHA UniversityPocheonSouth Korea
  3. 3.Department of Research AffairsYonsei University College of MedicineSeoulSouth Korea

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