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Correlation between preoperative ultrasonic features of medullary thyroid carcinoma and postoperative recurrence
Zhu, Qiaodan1; Xu, Dong2,3,4,5,6
2021-04-01
发表期刊BMC CANCER
通讯作者Xu, Dong(xudong@zjcc.org.cn)
摘要BackgroundTo investigate the factors that affect postoperative recurrence in medullary thyroid carcinoma (MTC) patients, including preoperative ultrasonic characteristics and other factors.MethodA retrospective analysis of 7 MTC patients who underwent the first thyroid surgery from 2009 to 2018 and who had complete follow-up data was conducted. According to the follow-up results, these patients were divided into the recurrence group (17 cases) and non-recurrence group (57 cases). The preoperative ultrasound characteristics, preoperative and postoperative calcitonin levels, and general informations of the two groups were recorded, respectively. Univariate and multivariate analyses were performed.ResultsSingle factor Kaplan-Meier (K-M) analysis showed that: ? Preoperative ultrasonic characteristics including tumor size >40.0mm, capsular invasion, and metastatic cervical lymph nodes, as well as preoperative calcitonin level>565.8pg/ml, and postoperative calcitonin (within one week) level>45.0pg/ml were positively correlated with the risk of postoperative recurrence of MTC (P<0.05); ? There was no evidence to show that sex and age had a statistically significant effect on postoperative recurrence of MTC (P>0.05). Multivariate Cox regression analysis showed that metastatic lymph nodes shown by ultrasound (HR=5.368, 95%CI 1.063-27.104, P=0.042) was an independent risk factor for postoperative recurrence of MTC.ConclusionsMTC patients with metastatic lymph nodes shown by ultrasound are prone to postoperative recurrence of MTC. In addition, MTC patients with a tumor >40.0mm, capsular invasion, preoperative calcitonin level>565.8pg/ml, and postoperative calcitonin level>45.0pg/ml are more likely to have postoperative recurrence.
关键词Medullary thyroid carcinoma Ultrasound Recurrence Calcitonin
DOI10.1186/s12885-021-07953-y
收录类别SCI
语种英语
资助项目National Natural Science Foundation of China[81871370] ; National Natural Science Foundation of China[82071946] ; Natural Science Foundation of Zhejiang Province (CN)[LSD19H180001]
项目资助者National Natural Science Foundation of China ; Natural Science Foundation of Zhejiang Province (CN)
WOS研究方向Oncology
WOS类目Oncology
WOS记录号WOS:000636446600001
出版者BMC
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.hfcas.ac.cn:8080/handle/334002/121492
专题中国科学院合肥物质科学研究院
通讯作者Xu, Dong
作者单位1.Zhejiang Chinese Med Univ, Clin Med Coll 2, Hangzhou, Zhejiang, Peoples R China
2.Wenzhou Med Univ, Wenzhou 325600, Zhejiang, Peoples R China
3.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, 1 East Banshan Rd, Hangzhou 310022, Zhejiang, Peoples R China
4.Chinese Acad Sci, Inst Basic Med & Canc IBMC, Hangzhou 310022, Zhejiang, Peoples R China
5.Key Lab Head & Neck Canc Translat Res Zhejiang Pr, Hangzhou 310022, Zhejiang, Peoples R China
6.Zhejiang Prov Res Ctr Canc Intelligent Diag & Mol, Hangzhou 310022, Zhejiang, Peoples R China
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Zhu, Qiaodan,Xu, Dong. Correlation between preoperative ultrasonic features of medullary thyroid carcinoma and postoperative recurrence[J]. BMC CANCER,2021,21.
APA Zhu, Qiaodan,&Xu, Dong.(2021).Correlation between preoperative ultrasonic features of medullary thyroid carcinoma and postoperative recurrence.BMC CANCER,21.
MLA Zhu, Qiaodan,et al."Correlation between preoperative ultrasonic features of medullary thyroid carcinoma and postoperative recurrence".BMC CANCER 21(2021).
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