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Relationship between ultrasonographic and pathologic calcification patterns in papillary thyroid cancer.
Bu Kyung Kim1, Eun Mi Lee1, Jeong Hoon Kim2
1Department of Internal Medicine.
Medicine
|October 14, 2018
Summary
Ultrasonographic microcalcification in thyroid nodules often indicates the presence of psammoma bodies, a poor prognostic factor in papillary thyroid cancer (PTC). This finding suggests ultrasound microcalcification can predict PTC aggressiveness.
Area of Science:
- Radiology
- Pathology
- Oncology
Background:
- Ultrasonographic microcalcification is linked to papillary thyroid cancer (PTC).
- Pathologic psammoma bodies are associated with poor prognosis in PTC.
- The correlation between ultrasonographic microcalcifications and pathologic psammoma bodies is not well understood.
Purpose of the Study:
- To evaluate the relationship between ultrasonographic (US) calcification types and pathologic calcification features.
- To determine the consistency between US-observed calcifications and pathologic findings.
Main Methods:
- US calcifications were categorized into microcalcification (MC) and non-microcalcification (non-MC) types.
- Pathologic calcifications were classified as psammoma bodies, stromal calcifications, or ossifications.
- Logistic regression analysis was used to assess the predictive value of US calcification types.
Main Results:
- Of 411 nodules, 38.9% showed US calcification.
- Larger pathologic calcifications correlated with increased US calcification presence (ossification > stromal > psammoma).
- US microcalcification (MC) was consistently associated with psammoma bodies, while non-MC was linked to ossification.
Conclusions:
- Ultrasonographic microcalcification is consistent with the presence of pathologic psammoma bodies.
- US identification of microcalcification may serve as a prognostic indicator for papillary thyroid cancer aggressiveness.
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