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Relationship between subgroups of central and lateral lymph nodemetastasis in clinically node-negative papillary thyroid carcinoma

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World Journal of Clinical Cases 2022年第12期10卷 3709-3719页

作者： Jing Zhou Da-Xue Li Han Gao Xin-Liang Su Department of thyroid and breast surgery Chongqing Health Center for Women and ChildrenChongqing 401120China Department of thyroid and breast surgery First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China

BACKGROUND Lymph node metastasis(LNM) of papillary thyroid carcinoma(PTC) has a certain regularity and occurs first to the central lymph node and then to the lateral lymph node. The pathway of PTC LNM can guide surgical prophylactic lymph node dissection(LND) for clinical *** To investigate the relationship between subgroups of central LNM and lateral LNM in unilateral clinically node-negative PTC(cN0-PTC).METHODS Data were collected for 1089 PTC patients who underwent surgical treatment at the Department of Endocrine and breast surgery of the First Hospital of Chongqing Medical University from January 2016 to December 2017. A total of 388 unilateral cN0-PTC patients met the inclusion criteria and were enrolled in this study. The clinical and pathological data for these 388 patients who underwent total thyroidectomy + central LND + lateral LND were retrospectively analyzed. The relationship between the central LNM and lateral LNM subgroups was *** The coincidence rate of cN0-PTC was only 30.0%.Optimal scaling regression analysis showed that sex(57.1% vs 42.9%, P = 0.026), primary tumor size(68.8% vs 31.2%, P = 0.008), tumor location(59.7% vs 40.3%, P = 0.007), extrathyroid extension(ETE)(50.6% vs 49.9%, P = 0.046), and prelaryngeal LNM(57.1% vs 42.9%, P = 0.004) were significantly associated with ipsilateral level-II LNM. Their importance levels were 0.122, 0.213, 0.172, 0.110, and 0.227, respectively. Primary tumor size(74.6% vs 30.2%, P = 0.016), pretracheal LNM(67.5% vs 32.5%, P < 0.001), and paratracheal LNM(71.4% vs 28.6%, P < 0.001) were significantly associated with ipsilateral level-Ⅲ LNM. Their importance levels were 0.120, 0.408, and 0.351, respectively. Primary tumor size(72.1% vs 27.9%, P = 0.003), ETE(70.4% vs 29.6%, P = 0.016), pretracheal LNM(68.3% vs 31.7%, P=0.001), and paratracheal LNM(80.8% vs 19.2%, P < 0.001) were significantly associated with ipsilateral level-IV LNM. Their importance levels were 0.164, 0.146, 0.216, a

关键词： Papillary thyroid carcinoma Lymph node metastasis Clinically node-negative Prophylactic lymph node dissection Prelaryngeal

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Relationship between Expression of Vascular Endothelial Growth Factor and Cervical Lymph Node Metastasis in Papillary thyroid Cancer: A Meta-analysis

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2017年第5期37卷 661-666页

作者：黄晓庆何文山张惠琼杨瑞黄韬 Department of breast and thyroid surgery Union Hospital Tongji Medical College Huazhong University of Science and Technology

The aim of the present study was to examine the relationship between the protein expression of vascular endothelial growth factor（VEGF） and lymph node metastasis（LNM） in papillary thyroid cancer（PTC）. VEGF-related articles that had been published until August 2016 were searched from the Pub Med, EMBASE, and MEDLINE to identify the risk factors of LNM in PTC. Rev Man 5.3 software was used for the meta-analysis. Finally, 9 articles met the inclusion criteria and were included in our meta-analysis. LNM was found to be present in 176 of 318 patients（57.8%） with high VEGF expression and in 71 of 159 patients（47.0%） with low VEGF expression. The overall OR was 2.81（95% confidence interval, 1.49–5.29）. LNM occurred more frequently in patients with high VEGF expression than in those with low VEGF expression（P=0.001）. Heterogeneity was markedly decreased in the subgroup analyses of LNM in terms of the patients＇ country of origin and the detection methods. Our meta-analysis concluded that the VEGF protein expression is associated with LNM in PTC.

关键词： vascular endothelial growth factor cervical lymph node metastasis papillary thyroid cancer meta-analysis

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Do medullary thyroid carcinoma patients with high calcitonin require bilateral neck lymph node clearance?A case report

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World Journal of Clinical Cases 2021年第6期9卷 1343-1352页

作者： Feng-Jiao Gan Tie Zhou Shun Wu Meng-Xi Xu Su-Hong Sun Department of thyroid and breast surgery Affiliated Hospital of Zunyi Medical UniversityZunyi 563000Guizhou ProvinceChina

BACKGROUND In clinical work,85%-90%of malignant thyroid diseases are papillary thyroid cancer(PTC);thus,clinicians neglect other types of thyroid cancer,such as medullary thyroid carcinoma(MTC).CASE SUMMARY We report a 53-year-old female patient with a preoperative calcitonin level of 345 pg/*** was no definitive diagnosis of MTC by preoperative fine-needle aspiration cytology or intraoperative frozen pathology,but the presence of PTC and MTC was confirmed by postoperative paraffin *** patient underwent total thyroidectomy and bilateral central lymph node *** follow-up at 1.5 years after surgery revealed no signs of recurrence or *** The issue in clinical work-up regarding types of thyroid cancer provides a novel and challenging idea for the surgical treatment of *** the absence of central lymph node metastasis,it is worth addressing whether patients with high calcitonin can undergo total thyroidectomy and bilateral central lymph node dissection without bilateral lateral neck lymph node dissection.

关键词： Medullary thyroid carcinoma Papillary thyroid carcinoma Simultaneous different types of thyroid cancer Calcitonin Fine needle aspiration cytology surgery Case report

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Clinical and Sonographic Assessment of Cervical Lymph Node Metastasis in Papillary thyroid Carcinoma

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2016年第6期36卷 823-827页

作者： Qi WU Yi-min ZHANG Si SUN Juan-juan LI Juan WU Xiang LI Shan ZHU Wen WEI Sheng-rong SUN Department of breast and thyroid surgery Department of Clinical Laboratory Department of Pathology Renmin Hospital of Wuhan University Wuhan 430060 China Department of breast surgery Hubei Cancer Hospital Wuhan 430079 China

The purpose of this study was to assess the differences in clinical and sonographic features of papillary thyroid carcinoma（PTC） between cervical lymph node metastatic（CLNM） and nonmetastatic *** data of PTC patients（414 patients with 624 malignant nodules） who underwent a preoperative ultrasonography and surgery between June 2010 and March 2015 at Renmin Hospital of Wuhan University were retrospectively *** factors,preoperative ultrasound features and the final pathological findings were *** differences in the sonographic features of PTC between the CLNM group and the non-CLNM group were *** were 187 CLNM and 227 non-CLNM *** median age at the diagnosis of this cohort was 45.4 years old（ranging from 18 to 77 years）.Ultrasonographic parameters that were significantly associated with CLNM [OR=2.569（1.502,4.393）,P〈0.001）] were as follows：the mulifocality of the nodules,size over 2 cm,the presence of microcalcifications,the distance ratio（DR） pattern showing the contact of the nodules with the thyroid capsule,and the extracapsular spread of the *** significant differences in age,gender,thyroid stimulating hormone（TSH） levels and other ultrasonography parameters were found between the CLNM and the non-CLNM ***,our results suggest that a larger size,microcalcifications,mulifocality,and the DR pattern showing the contact of the nodules with the thyroid capsule and extracapsular spread are significantly more indicative of CLNM in PTC.

关键词： clinical and sonographic assessment papillary thyroid carcinoma cervical lymph node metastasis

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Correlation analysis of serum thyroglobulin,thyroid-stimulating hormone levels,and thyroid-cancer risk in thyroid nodule surgery

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World Journal of Clinical Cases 2023年第27期11卷 6407-6414页

作者： Jin-Hao Shuai Zhao-Fang Leng Peng Wang Yi-Chi Ji Department of thyroid and breast surgery Meishan City People's HospitalMeishan 620000Sichuan ProvinceChina

BACKGROUND Thyroglobulin(Tg)is one of the markers of thyroid cancer,and its concentration may be elevated in patients with malignant thyroid ***-stimulating hormone(TSH)is secreted by the pituitary gland,which has a significant impact on thyroid gland *** high or low TSH levels may be associated with an increased risk of thyroid ***,in-depth studies on the association of serum Tg and TSH levels with thyroid cancer risk in patients with thyroid nodules are *** can help determine whether Tg and TSH levels can predict the degree of malignancy of thyroid nodules,which can in turn guide doctors in making accurate diagnoses and treatment ***,such studies can provide more accurate diagnostic methods for thyroid nodules and help patients become aware of the presence of thyroid cancer as early as possible,thereby improving the success rate of treatment and *** To investigate the association of serum Tg and TSH levels with the risk of thyroid cancer in patients undergoing thyroid nodule *** The clinical data and laboratory examination results of 130 patients who underwent thyroid nodule surgery were retrospectively ***,their preoperative serum Tg and TSH levels were *** examination conducted during follow-up revealed the presence of thyroid *** analysis were used to analyze the association of Tg and TSH levels with the risk of thyroid *** Of the 130 patients,60 were diagnosed with thyroid *** analysis revealed a significant positive correlation between serum Tg levels and the risk of thyroid cancer(Pthyroid ***,no significant correlation was observed between serum TSH levels and the risk of thyroid cancer(P>0.05).CONCLUSION In patients who underwent thyroid nodule surgery,serum Tg levels exhibited a significant co

关键词： thyroid nodule surgery Serum thyroglobulin Serum thyroid-stimulating hormone thyroid cancer Risk correlation Prediction of thyroid nodules

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Is it possible to foot reflexology for infants with sensorineural hearing loss?

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World Journal of Clinical Cases 2025年第2期13卷 1-4页

作者： Min Ai Hang-Hang Zhang Jun-Bang Feng Chuan-Ming Li Wen-Jing Wang Meng-Die Hu Department of Anesthesiology Nanan District People's Hospital of ChongqingChongqing 400060China Department of breast and thyroid surgery Chongqing Bishan District Maternal and Child Health Care HospitalChongqing 402760China Department of Medical Imaging Chongqing University Central HospitalChongqing 400014China

Foot reflexology is a non-invasive and safe complementary therapy that works by massaging the reflex zones of the feet and exerts systemic or whole-body regulation through meridian nerve *** therapy is commonly used in the treatment of various conditions such as autism and Parkinson's ***,there is limited reporting on the use of foot reflexology therapy for infants with sensorineural hearing loss(SNHL).Currently,there is no definitive conclusion on how foot reflexology therapy can influence *** editorial holds some guiding significance regarding this clinical *** aim is to present physiological evidence of how foot reflexology therapy can impact infants with SNHL,thereby enhancing clinician’s awareness of foot reflexology in treating infants with SNHL.

关键词： Foot reflexology Sensorineural Hearing Loss Future perspectives Limitations Neural conduction

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Submandibular solid-cystic mass as the first and sole manifestation of occult thyroid papillary carcinoma: A case report

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World Journal of Clinical Cases 2023年第29期11卷 7253-7257页

作者： Geng-Yu Chen Tong Li thyroid and breast surgery The Fourth People’s Hospital of Jinan CityJinan 250021Shandong ProvinceChina

BACKGROUND Occult thyroid papillary carcinoma(OTPC)is typically characterized by initial presentation with cervical lymph node metastasis and can be detected through ***,the initial and sole manifestation was a submandibular solid-cystic ***-frequency ultrasound,enhanced multislice computed tomography(CT)scan,and thyroid function tests revealed no abnormalities,which is relatively *** SUMMARY A 24-year-old Chinese female,who studied at a university in Shandong Province,presented to the clinic in June 2019 with a right submandibular mass that she had noticed 2 mo *** examination revealed a 2-cm,nontender,movable solid-cystic mass in the submandibular region,with no palpable thyroid mass *** revealed a 2.0 cm×1.1 cm solid-cystic mass in the right submandibular region,and the thyroid gland showed no *** scan and 131I whole body follow-up scan showed that there were no abnormalities in the ***,cytology and pathology showed papillary tumor cell clusters,consistent with papillary thyroid ***,we performed total thyroidectomy and right neck lymph node *** pathology revealed the thyroid was detected as classical thyroid micropapillary carcinoma,and lymph nodes of levels VI central and levels II,III,IV,V on the right side showed no tumor *** patient was followed up for 2 years without significant *** The presentation of a submandibular solid-cystic mass as the primary and solitary indication of OTPC is relatively *** needle aspiration is advised for evaluating neck masses.

关键词： Occult thyroid carcinoma Submandibular mass Ultrasound Fine needle aspiration Case report

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Synchronous parathyroid adenoma, papillary thyroid carcinoma and thyroid adenoma in pregnancy: A case report

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World Journal of Clinical Cases 2020年第21期8卷 5426-5431页

作者： Qiang Li Xiao-Zhang Xu Jian-Hua Shi Department of breast and thyroid surgery The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical UniversityHuai'an 223300Jiangsu ProvinceChina

BACKGROUND There is a common pathologic relationship between parathyroid adenoma and thyroid cancer,but this relationship is infrequent in pregnant patients with primary hyperparathyroidism(PHPT).CASE SUMMARY A 27-year-old gravida 1 woman was transferred to our hospital at 16 wk of *** was diagnosed with parathyroidoma,papillary carcinoma of the thyroid and thyroid adenoma and was managed *** the mother and the newborn were stable after a right inferior parathyroidectomy and total *** healthy infant was delivered at the 40th week of *** mother had no evidence of recurrence over three years of *** Awareness of concomitant PHPT and thyroid diseases may help in managing patients with a history of hypercalcemia.

关键词： Primary hyperparathyroidism Pregnancy Papillary thyroid carcinoma Parathyroid adenoma thyroid adenoma Case report

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Evaluation of 118 thyroid Cancer Patients Who Underwent a Re-operation after Local Resection

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Chinese Journal of Clinical Oncology 2005年第5期2卷 800-804页

作者： Jianping Hang Dong Meng Liqi Li Department of thyroid and breast surgery Wuxi No. 4 Hospital WuxiJiangsu 214062 China.

OBJECTIVE To evaluate the incidence of residual thyroid cancer and cervical lymph node metastasis following a previous local resection for thyroid cancer, and to discuss methods of a reoperation. METHODS From 1994-2005, 118 patients with thyroid cancer who had previously been treated with a nodule-resection or subtotal Iobectomy in other hospitals underwent a surgical re-operation. RESULTS The incidence of residual cancer at the primary site was 38.1%. The lymph node metastasis rate at the central area was 39.8%. The rate of lymph node metastasis in patients with enlarged lymph nodes in the ipsilateral internal jugular chain was 37.5%, The rate of laryngeal recurrent nerve injury was 15.2% in other hospitals while that of the second operation in our hospital was 1.6%. CONCLUSION Nodule-resection or subtotal Iobectomy alone is not indicated for patients with thyroid cancer because of the high rate of local residual cancer. It is important to be familiar with the anatomy of the laryngeal recurrent nerve for thyroid surgery. Exploration to the central area is necessary for differentiated thyroid cancer.

关键词： thyroid neoplosm re-operotion.

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Small Cell Carcinoma:a Rare Subtype of thyroid Cancer with Unanticipated Prognosis

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Current Medical Science 2019年第2期39卷 265-269页

作者： Wei SHI Qiu-yang ZHAO Ze-ming LIU Shun-tao WANG Chun-ping LIU Department of breast and thyroid surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Plastic surgery Zhongnan Hospital of Wuhan UniversityWuhan 430071China

The prognosis of small cell thyroid carcinoma(SCTC)in a large cohort has not been well reported in the *** this study,we analyzed the mortality of SCTC,in comparison to medullary thyroid cancer(MTC)and anaplastic thyroid cancer(ATC),based on the Surveillance,Epidemiology,and End Results(SEER)Program of the National Cancer Institute,to determine the prognosis of *** regarding patients with a diagnosis of MTC,ATC,or SCTC,between 2004 and 2013,was acquired from the SEER *** survival curves were assessed by Cox proportional hazards regression analyses,Kaplan-Meier analyses,and log-rank *** a Kaplan-Meier analysis of the entire cohort of thyroid cancer patients,cancer-specific survival declined sharply for patients with SCTC,but it declined more modestly for patients with *** cancer-specific survival was not significantly different between SCTC and *** Cox regression analysis showed that SCTC had a higher cancer-specific mortality than MTC but a similar prognosis as *** showed a higher cancer-specific mortality than MTC and ATC after adjustments for various confounding *** was found to have a more highly lethal clinical course than MTC and had a similar death rate to ***,we recommend that aggressive,radical treatment like surgery or radiation should be performed tor these patients.

关键词： small cell carcinoma medullary thyroid cancer anaplastic thyroid cancer

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