, Volume 46, Issue 3, pp 554–560 | Cite as

Coexistence of thyroglobulin antibodies and thyroid peroxidase antibodies correlates with elevated thyroid-stimulating hormone level and advanced tumor stage of papillary thyroid cancer

  • Xiaoyu Wu
  • Yu Lun
  • Han Jiang
  • Qingwei Gang
  • Shijie Xin
  • Zhiquan Duan
  • Jian Zhang
Original Article


The correlation between thyroglobulin antibodies (TgAb) or thyroid peroxidase antibodies (TPOAb) and papillary thyroid cancer (PTC) remains controversial. This histological study aimed to explore the correlation between thyroid autoantibodies (TAb), thyroid-stimulating hormone (TSH), and PTC in patients with thyroid nodules (TN). This was a retrospective study. 2,132 non-autoimmune thyroid diseases (AITD) patients who underwent thyroidectomy were subdivided into: TgAb or TPOAb single positive (TgAb+ or TPOAb+) TN group; TgAb and TPOAb double positive or negative (TAb+ or TAb−) TN group. PTC patients showed a higher rate of TAb+ TN (10.24 vs. 4.89 %; P = 0.000) and a higher TSH level (1.83 ± 0.07 vs. 1.39 ± 0.03 mIU/L; P = 0.000) than patients with benign nodules. TAb+ TN patients showed a higher TSH level and PTC frequency than those with TAb− TN (1.91 ± 0.17 vs. 1.47 ± 0.03 mIU/L; P = 0.011) (41.35 vs. 22.08 %; P = 0.000). In PTC, TAb+ TN patients showed a higher TSH level (2.57 ± 0.35 vs. 1.79 ± 0.07 mIU/L; P = 0.032), a greater frequency of lymph node metastasis (52.73 vs. 36.51 %, P = 0.026), and a lower micro-PTC frequency (16.36 vs. 39.51 %; P = 0.001) than TAb− TN patients. PTC was correlated with TgAb+ TN (OR = 1.921, CI 1.431–2.580; P = 0.000), TPOAb+ TN (OR = 1.945, CI 1.195–3.165; P = 0.007), TAb+ TN (OR = 2.393, CI 1.635–3.501; P = 0.000), and serum TSH >1.35 mIU/L (OR = 1.742, CI 1.089–2.786; P = 0.021). Serum positive TgAb or TPOAb is an independent predictor for PTC regardless of AITD. The coexistence of TgAb and TPOAb confers a greater risk for PTC than isolated positive TgAb or TPOAb, and is correlated with elevated TSH level and advanced PTC stage.


Thyroglobulin antibodies Thyroid peroxidase antibodies Thyroid-stimulating hormone Papillary thyroid cancer Thyroid immunity Prognosis 



We gratefully acknowledge the valuable advice and kind help from the staff in Institute of Pathology of China Medical University. We would also like to thank the staff from Department of Vascular & Thyroid Surgery of The First Hospital of China Medical University for their kind help.

Conflict of interest

The authors declare that they have no conflict of interests.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Xiaoyu Wu
    • 1
  • Yu Lun
    • 1
  • Han Jiang
    • 1
  • Qingwei Gang
    • 1
  • Shijie Xin
    • 1
  • Zhiquan Duan
    • 1
  • Jian Zhang
    • 1
  1. 1.Department of Vascular & Thyroid SurgeryThe First Hospital of China Medical UniversityShenyangChina

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