Preoperative prediction of papillary thyroid carcinoma prognosis with the assistance of computerized morphometry of cytology samples obtained by fine-needle aspiration: Preliminary report
Journal
Head and Neck
Journal Volume
35
Journal Issue
1
Pages
28-34
Date Issued
2013
Author(s)
Abstract
Background The purpose of this study was to analyze the relationship between cytologic features, clinical features, and recurrence of papillary thyroid cancer (PTC). We hoped to predict prognosis preoperatively. Methods We retrospectively studied cytologic features by using computerized morphometry and clinical data of 118 patients with usual-type PTC without initial metastasis, including 34 patients with cancer recurrence in 10 years after surgery and 84 patients who did not have recurrence for more than 10 years after surgery. Another 24 patients were recruited for validation. Results Multivariate logistic analysis indicated that nucleus-to-cell ratio, variation of nuclear area, tumor size, and patient age were significantly related to recurrence. Cox regression analysis showed that hazard ratios were 3.34, 1.53, 1.77, and 2.6, respectively. Conclusion Cytologic features of PTC analyzed with computerized morphometry significantly correlated with recurrence. It helped to predict prognosis preoperatively and may be helpful for planning further treatment. ? 2012 Wiley Periodicals, Inc.
SDGs
Other Subjects
adult; aged; article; cancer prognosis; cancer recurrence; cancer surgery; cell nucleus; computer; controlled study; cytology; female; human; major clinical study; male; metastasis; morphometrics; needle biopsy; preoperative period; priority journal; retrospective study; scoring system; thyroid carcinoma; tumor volume; Adolescent; Adult; Aged; Biopsy, Fine-Needle; Carcinoma; Cell Nucleus; Female; Humans; Male; Middle Aged; Preoperative Period; Prognosis; Recurrence; Regression Analysis; Retrospective Studies; Thyroid Gland; Thyroid Neoplasms; Young Adult
Type
journal article