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皮皮性甲状腺微癌中的节点转移:在311名患者中的患病率和危险因素
Maria Letizia Lai1, Priscilla Baldussu1, Jacopo Caschili2
1Department of Medical Sciences and Public Health, Division of Pathology (AOU Di Cagliari), University of Cagliari, Cagliari, Italy.
Virchows Archiv : an international journal of pathology
|November 18, 2025
概括
乳头甲状腺小癌 (PTMC) 可能表现出侵略性特征. 男性的性别,年轻的年龄,多中心性和血管入侵预测淋巴结转移,而高细胞亚型预测甲状腺外延伸.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 乳头甲状腺小瘤 (PTMC) 通常是低风险的,但可以表现出积极的特征,如淋巴结转移和甲状腺外延伸 (ETE).
- 准确的风险分层对于有效的患者管理和治疗策略至关重要.
研究的目的:
- 确定影响PTMC预后的病理因素.
- 根据311个病例的队列,完善PTMC的风险分层.
主要方法:
- 从2016年至2024年对311个PTMC样本 (瘤≤1.0厘米) 的回顾性分析.
- 评估包括性别,组织学,瘤大小,ETE,淋巴结转移和甲状腺炎在内的变量.
- 使用Pearson的千平方和二进制物流回归的统计分析,p < 0.05被认为是显著的.
主要成果:
- 45名患者 (14.5%) 呈现了淋巴结转移.
- 淋巴结转移的独立风险因素包括男性性别,年龄<45岁,多中心性和血管侵袭.
- 高细胞组织学亚型是ETE的独立预测因子.
结论:
- 虽然PTMC通常是惰的,但它可能表现出侵略性行为,需要仔细的预后评估.
- 识别这些独立的风险因素可以提高PTMC患者的临床决策和治疗策略.
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