Innovative analysis of distant metastasis in differentiated thyroid cancer
Autor: | Liang Guo, Wen Zeng, Sichao Chen, Chao Zhang, Di Hu, Haifeng Feng, Yihui Huang, Min Wang, Danyang Chen, Zeming Liu, Wei Wei, Wei Zhou, Lei Huang |
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Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Oncology Cancer Research medicine.medical_specialty Oncogene business.industry Incidence (epidemiology) Thyroid Absolute risk reduction Cancer Articles Odds ratio medicine.disease 03 medical and health sciences 030104 developmental biology 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Internal medicine medicine Stage (cooking) business Thyroid cancer |
Zdroj: | Oncology Letters. |
ISSN: | 1792-1082 1792-1074 |
Popis: | Differentiated thyroid cancer (DTC) is the most common thyroid cancer with a relatively high survival rate. The association between certain risk factors of distant metastasis (DM) remains uncertain. In order to assess the prognosis of patients with DTC better, the present study aimed to investigate the synergistic effects between histologic subtype, tumor size, lymph node metastasis (LNM) status and extrathyroidal extension (ETE) on the incidence of DM in DTC. Data of 96,788 patients with DTC were obtained from the Surveillance, Epidemiology and End Results database. The association between clinicopathological factors and DM was evaluated by univariate and multivariate analyses. The synergistic effects of relevant factors were determined by measuring the relative excess risk due to interaction (RERI), attributable proportion due to interaction (AP) and synergy index (SI). The results demonstrated that tumor size, LNM status, histologic subtype and ETE were independent risk factors for DM [odds ratio (OR)=2.433; P |
Databáze: | OpenAIRE |
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