From: Risk factors for level V metastasis in patients with N1b papillary thyroid cancer
Variable | Univariate | ||
---|---|---|---|
Lv5 (+) (n = 14) | Lv5 (−) (n = 80) | P value | |
Age (year) | 40.21 ± 9.34 | 45.6 ± 13.63 | 0.159 |
Gender | 1.000 | ||
Male | 4 (28.6) | 22 (38) | |
Female | 10 (71.4) | 58 (62) | |
Tumor size (USG) | 20.29 ± 11.97 | 15.28 ± 9.7 | 0.089 |
The largest LN size (USG) | 15.21 ± 3.91 | 14.56 ± 7.81 | 0.635 |
LN/tumor size ratio (USG) | 1.07 ± 0.77 | 1.26 ± 0.94 | 0.485 |
Multi-level suspicious LNs (USG) | 10 (71.4) | 33 (41.3) | 0.037 |
Tumor location | 0.549 | ||
Upper | 7 (50) | 28 (35) | |
Middle | 7 (50) | 50 (62.5) | |
Lower | 0 | 2 (2.5) | |
Multifocality | 9 (64.3) | 41 (51.3) | 0.367 |
Bilaterality | 6 (42.9) | 31 (38.8) | 0.772 |
Extrathyroidal extension | 3 (21.4) | 7 (8.8) | 0.167 |
Tumor size (pathology) | 19.57 ± 11.93 | 14.28 ± 7.06 | 0.128 |
Size of the largest metastatic focus (pathology) | 17.43 ± 8.28 | 12.2 ± 8.66 | 0.039 |
Metastatic focus/tumor size ratio (pathology) | 1.19 ± 0.96 | 1.05 ± 0.88 | 0.584 |
Extranodal extension | 10 (71.4) | 42 (52.5) | 0.189 |
Stage | 0.505 | ||
I | 12 (85.7) | 59 (73.8) | |
II | 2 (14.3) | 21 (26.2) | |
CLNM | 14 (100) | 65 (81.3) | 0.116 |
Single level metastasis (except level V) | |||
Level II | 2 (14.3) | 5 (6.3) | 0.279 |
Level III | 0 | 15 (18.8) | 0.116 |
Level IV | 1 (7.1) | 3 (3.8) | 0.481 |
Multi-level metastasis (except level V) | |||
Level II and III | 2 (14.3) | 10 (12.5) | 1.0 |
Level II and IV | 0 | 7 (8.8) | 0.589 |
Level III and IV | 0 | 22 (27.5) | 0.035 |
Level II, III, and IV | 9 (64.3) | 18 (22.5) | 0.003 |
Number of metastatic LNs | |||
Total | 16.93 ± 8.06 | 9.51 ± 6.66 | < 0.001 |
Level II | 3.07 ± 2.34 | 1.19 ± 1.61 | 0.011 |
Level III | 3.93 ± 4.29 | 1.91 ± 1.69 | 0.105 |
Level IV | 1.93 ± 1.64 | 1.43 ± 1.64 | 0.293 |
Level VI | 7.00 ± 4.19 | 4.96 ± 4.96 | 0.151 |
LNR | |||
Total | 0.35 ± 0.16 | 0.25 ± 0.17 | 0.036 |
Level II | 0.52 ± 0.35 | 0.22 ± 0.29 | 0.001 |
Level III | 0.32 ± 0.23 | 0.25 ± 0.24 | 0.330 |
Level IV | 0.32 ± 0.32 | 0.19 ± 0.20 | 0.158 |
Level VI | 0.58 ± 0.32 | 0.51 ± 0.38 | 0.539 |
3-level with ≥ 2.5 metastatic LNs in level II | 6 (42.9) | 6 (7.5) | 0.002 |
Less than 3-level with ≤ 2 metastatic LNs in level II | 4 (28.6) | 55 (68.8) | 0.004 |