Evidence map›Paper›PMID 32351678›Full record

ArticleJournal of thyroid research2020

Lymph Node Metastasis and Extrathyroidal Extension in Papillary Thyroid Microcarcinoma in Cyprus: Suspicious Subcentimeter Nodules Should Undergo FNA When Multifocality is Suspected.

Christos Papaioannou, Demetris Lamnisos, Katerina Kyriacou, Theodoros Lyssiotis, Vasilis Constantinides, Savvas Frangos, Aliki Economides, Panayiotis A Economides

Open access · hybridAbstract read
In one paragraph

Article in Journal of thyroid research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  7. Thyroid Nodules and Obesity.Life (Basel, Switzerland) · 2023
    Review
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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

8 authors at 4 institutions in 2 countries.

Christos PapaioannouBarts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.ORCID https://orcid.org/0000-0003-3943-9355
Demetris LamnisosEuropean University Cyprus, Engomi, Nicosia, Cyprus.
Katerina KyriacouHistopathology and Cytology Medical Center, Nicosia, Cyprus.
Theodoros LyssiotisHistopathology and Cytology Medical Center, Nicosia, Cyprus.
Vasilis ConstantinidesDepartment of Endocrine Surgery, Evangelistria Medical Center, Engomi, Nicosia, Cyprus.
Savvas FrangosBank of Cyprus Oncology Center, Strovolos, Nicosia, Cyprus.
Aliki EconomidesEuropean University Cyprus, Engomi, Nicosia, Cyprus.
Panayiotis A EconomidesEuropean University Cyprus, Engomi, Nicosia, Cyprus.ORCID https://orcid.org/0000-0002-5504-5113
European University Cyprus · CYAmerican Heart Institute · CYBank of Cyprus Oncology Center · CYQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of lymph node (LN) metastasis and extrathyroidal extension (ETE) in patients with papillary thyroid microcarcinoma (PTMC) in Cyprus and to evaluate the role of preoperative ultrasound (U/S) examination.

methodsA retrospective study of 102 patients who underwent thyroidectomy for PTMC in a 2-year period. Preoperatively, all patients had a thyroid and neck U/S examination with LN mapping. Tumor size according to the largest diameter, number of foci, LN metastasis, and ETE data was collected from the histopathological report and was compared to the preoperative U/S reports.

resultsLN metastasis was present in 23.5% of patients. 15.7% had central, 3.9% had lateral, and 3.9% had both central and lateral LN metastasis. ETE was present in 27.5% of patients. 21.6% had multifocal disease, and in this group, 40.9% had LN metastasis and 36.4% had ETE. Multifocality (

conclusionThe presence of LN metastasis and ETE in our PTMC patients in Cyprus is frequent. Neck U/S mapping is a highly reliable and accurate tool in identifying metastatic nodes. LN metastasis is associated with ETE and multifocality. Suspicious subcentimeter nodules should undergo FNA irrespective of size when multifocality is suspected.

Identifiers

PMID32351678
PMCPMC7128046
OpenAlexW3013552664

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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.