Multifocal cancer is associated with better survival than solitary cancer in non-Hispanic White patients with thyroid carcinoma

  • 0Department of Otolaryngology-Head and Neck Surgery, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

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Summary

This summary is machine-generated.

Multifocal thyroid cancer is linked to improved survival in non-Hispanic White patients. This finding suggests multifocal disease may indicate a better prognosis for thyroid cancer in this demographic.

Area Of Science

  • Oncology
  • Epidemiology
  • Cancer Research

Background

  • Multifocal carcinoma is frequently observed in thyroid cancer cases.
  • The prognostic significance of multifocal thyroid cancer remains incompletely understood.
  • Existing research has not definitively established the impact of multifocal disease on patient survival outcomes.

Purpose Of The Study

  • To investigate the association between multifocal thyroid carcinoma and patient survival.
  • To determine if multifocal disease correlates with improved cancer-specific survival (CSS) and overall survival (OS).
  • To analyze these associations across different ethnic groups within the United States.

Main Methods

  • Utilized data from the Surveillance, Epidemiology, and End Results (SEER) 18 Registries database (2000-2016).
  • Included patients diagnosed with thyroid carcinoma without other malignancies.
  • Employed univariable and multivariable Cox regression analyses, adjusting for key demographic and clinical factors.

Main Results

  • Analysis included 82,217 non-Hispanic White (NHW) patients, alongside African American (AA), Asian/Pacific Islander (AP), and Hispanic White (HW) cohorts.
  • In NHW patients, multifocal carcinoma was associated with significantly better CSS (adjusted HR=0.67) and OS (adjusted HR=0.76) compared to solitary disease.
  • Statistical significance was observed for both CSS (P<0.001) and OS (P<0.001) in the NHW group.

Conclusions

  • Multifocal thyroid carcinoma demonstrates a correlation with enhanced cancer-specific survival and overall survival.
  • This improved survival benefit associated with multifocal disease was specifically noted in non-Hispanic White patients.
  • The findings suggest multifocal disease may be a favorable prognostic indicator in certain thyroid cancer populations.

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