胡厚洋, 柏庆花. Effect of lymphocytic thyroiditis on response of differentiated thyroid cancer patients after131I therapy[J]. China Oncology, 2018, 28(6): 419-423.
胡厚洋, 柏庆花. Effect of lymphocytic thyroiditis on response of differentiated thyroid cancer patients after131I therapy[J]. China Oncology, 2018, 28(6): 419-423. DOI: 10.19401/j.cnki.1007-3639.2018.06.004.
I治疗后疗效满意、疗效不确定、血清学疗效不满意、结构性疗效不满意率分别为72.7%(40/55) vs 68.5%(50/73)、14.5%(8/55) vs 13.7%(10/73)、3.6%(2/55) vs 6.8%(5/73)和9.1%(5/55)vs 10.9%(8/73),对比分析提示两组间治疗效果与短期预后未见明显差异。相关性分析显示CLT与治疗效果不相关(P=0.519)。结论:CLT不是影响DTC患者
131
I治疗效果及预后的因素。
Abstract
Background and purpose: Chronic lymphocytic thyroiditis (CLT) is a common autoimmune inflammation. The aim of this present study was to determine the relationship between CLT and the response of patients with d
ifferentiated thyroid carcinoma (DTC) who received surgery and radioactive iodine (
131
I) treatment for thyroid carcinoma. Methods: We retrospectively analyzed 128 patients who received initial treatment for thyroid disease at Peking Union Medical College Hospital from 2014 to 2016. Data of the participants with histologically confirmed DTC were analysed according to the presence (CLT1) or absence (CLT0) of concurrent CLT. One-way analysis
chi-square test and rank-sum test
Mann-Whitney test and multivariate analyses were used to evaluate the clinicopathological features. Correlation analysis was conducted between response to
131
I and the presence or absence of concurrent CLT. The response was evaluated between two groups according to 2015 American Thyroid Association (ATA) response system. Results: Of the 128 patients
smaller tumor size and a greater female preponderance were noted in the patients with CLT compared with those without CLT (P=0.028
P=0.011
respectively). There was no significant difference in age
multifocality
stages of lymph nodes
capsular invasion and TNM classification system between the groups for DTC during 24-month mean follow-up period. There was no significant difference in response between two groups. The excellent response (ER) was 72.7%(40/55) and 68.5%(50/73)
respectively. Indeterminate response (IR) was 14.5%(8/55) and 13.7%(10/73)
respectively. Biochemical incomplete response (BIR) was 3.6%(2/55) and 6.8%(5/73)
respectively. Structural incomplete response (SIR) was 9.1%(5/55) and 10.9%(8/73)
respectively. Meanwhile
there was no correlation between response and the presence or absence of CTL (P=0.519). Conclusion: Our results do not support the hypothesis that CLT is associated with the response to