Evidence map›Paper›PMID 32323506›Full record

ArticleKorean journal of radiology2020

Thyroid Nodules with Isolated Macrocalcifications: Malignancy Risk of Isolated Macrocalcifications and Postoperative Risk Stratification of Malignant Tumors Manifesting as Isolated Macrocalcifications.

Hye Yun Gwon, Dong Gyu Na, Byeong Joo Noh, Wooyul Paik, So Jin Yoon, Soo Jung Choi, Dong Rock Shin

Open access · hybridAbstract read
In one paragraph

Article in Korean journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Hye Yun GwonDepartment of Radiology, GangNeung Asan Hospital, Gangneung, Korea.ORCID 0000-0002-6899-0309
Dong Gyu NaDepartment of Radiology, GangNeung Asan Hospital, Gangneung, Korea. nndgna@gmail.com.ORCID 0000-0001-6422-1652
Byeong Joo NohDepartment of Pathology, GangNeung Asan Hospital, Gangneung, Korea.ORCID 0000-0003-3288-4157
Wooyul PaikDepartment of Radiology, GangNeung Asan Hospital, Gangneung, Korea.ORCID 0000-0001-9617-6227
So Jin YoonDepartment of Radiology, GangNeung Asan Hospital, Gangneung, Korea.ORCID 0000-0001-6349-0105
Soo Jung ChoiDepartment of Radiology, GangNeung Asan Hospital, Gangneung, Korea.ORCID 0000-0003-0437-6657
Dong Rock ShinDepartment of Radiology, GangNeung Asan Hospital, Gangneung, Korea.ORCID 0000-0003-0722-1327
Gangneung Asan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the malignancy risk of isolated macrocalcifications (a calcified nodule with complete posterior acoustic shadowing) detected on ultrasonography (US) and to evaluate the postoperative American Thyroid Association (ATA) risk stratification of malignant tumors manifesting as isolated macrocalcifications. MATERIALS AND

methodsA total of 3852 thyroid nodules (≥ 1 cm) of 3061 consecutive patients who had undergone biopsy between January 2011 and June 2018 were included in this study. We assessed the prevalence, malignancy rate, and size distribution of isolated macrocalcifications and evaluated the histopathologic features and postoperative ATA risk stratification of malignant tumors manifesting as isolated macrocalcifications.

resultsIsolated macrocalcifications were found in 38 (1.2%) of the 3061 patients. Final diagnosis was established in 30 (78.9%) nodules; seven malignant tumors were diagnosed as papillary thyroid carcinomas (PTCs). The malignancy rate of the isolated macrocalcifications was 23.3% in the 30 nodules with final diagnoses and 18.4% in all nodules. Among the six surgically-treated malignant tumors, five (83.3%) had an extrathyroidal extension (ETE) (minor ETE 1, gross ETE 4), and two (33.3%) had macroscopic lymph node metastasis. Four (66.7%) malignant tumors were categorized as high-risk tumors, one as an intermediate-risk tumor, and one as a low-risk tumor using the ATA risk stratification. Histopathologically, out of the six malignant tumors, ossifications were noted in four (66.7%) and predominant calcifications in two (33.3%).

conclusionThe US pattern of isolated macrocalcifications (≥ 1 cm) showed an intermediate malignancy risk (at least 18.4%). All malignant tumors were PTCs, and most showed an aggressive behavior and a high or intermediate postoperative ATA risk.

Indexed as

AdultAgedBiopsy, Fine-NeedleCalcinosisFemaleHumansLymphatic MetastasisMaleMiddle AgedPostoperative PeriodRisk AssessmentThyroid Cancer, PapillaryThyroid NeoplasmsThyroid NoduleUltrasonographyUnited StatesIsolated macrocalcificationMalignancy riskThyroid malignancyThyroid noduleUltrasonography

Identifiers

PMID32323506
PMCPMC7183826
OpenAlexW3015182149

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.