Evidence map›Paper›PMID 34423400›Full record

SynthesisAdvances in therapy2021

Hürthle Cell Carcinoma of the Thyroid Gland: Systematic Review and Meta-analysis.

Andrés Coca-Pelaz, Juan P Rodrigo, Jatin P Shah, Alvaro Sanabria, Abir Al Ghuzlan, Carl E Silver, Ashok R Shaha, Peter Angelos, Dana M Hartl, Antti A Mäkitie and 9 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Advances in therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.3field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Article
  4. Review
  5. Article
  6. Management of Thyroid Hurthle Cell Carcinoma: A Single Centre Analysis.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  7. Comparison of prognosis between oncocytic thyroid carcinoma and follicular thyroid carcinoma: a population-based propensity score matching analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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

19 authors at 15 institutions in 8 countries.

Andrés Coca-PelazDepartment of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, ISPA, IUOPA, CIBERONC, Oviedo, Spain. acocapelaz@yahoo.es.ORCID http://orcid.org/0000-0003-1363-8559
Juan P RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, ISPA, IUOPA, CIBERONC, Oviedo, Spain.ORCID http://orcid.org/0000-0003-3063-0890
Jatin P ShahHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6444-6592
Alvaro SanabriaDepartment of Surgery, School of Medicine, Universidad de Antioquia/IPS Universitaria-Clinica Las Vegas-QUIRON-CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello, Medellín, Colombia.ORCID http://orcid.org/0000-0002-5563-8840
Abir Al GhuzlanDepartment of Medical Biology and Pathology, Institut Gustave Roussy, UMS3655-INSERM US23 AMMICA, Université Paris-Saclay and Experimental and Translational Pathology Platform, CNRS, Villejuif, France.
Carl E SilverDepartment of Surgery, University of Arizona College of Medicine, Phoenix, AZ, USA.
Ashok R ShahaHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Peter AngelosDepartment of Surgery and MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA.
Dana M HartlDepartment of Otolaryngology-Head and Neck Surgery, Institut Gustave Roussy, Villejuif Cedex, France.
Antti A MäkitieDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID http://orcid.org/0000-0002-0451-2404
Kerry D OlsenDepartment of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
Randall P OwenDivision of Surgical Oncology, Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Gregory W RandolphDivision of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.ORCID http://orcid.org/0000-0002-2542-3830
Ricard SimóHead and Neck and Thyroid Oncology Unit, Department of Otorhinolaryngology, Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK.
Ralph P TufanoHead and Neck Endocrine Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Luiz P KowalskiDepartment of Otorhinolaryngology-Head and Neck Surgery, A.C. Camargo Cancer Center and University of Sao Paulo Medical School, São Paulo, Brazil.
Mark E ZafereoHead and Neck Endocrine Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.ORCID http://orcid.org/0000-0001-7956-6709
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, Padua, Italy.ORCID http://orcid.org/0000-0002-8247-8002
Memorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversidad de Oviedo · ESCentre National de la Recherche Scientifique · FRIcahn School of Medicine at Mount Sinai · USInstitut Gustave Roussy · FRMassachusetts Eye and Ear Infirmary · USMayo Clinic · USSt Thomas' Hospital · GBUniversidad de Antioquia · COUniversidade de São Paulo · BRUniversity of Arizona · USUniversity of Chicago Medical Center · USUniversity of Helsinki · FIUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHürthle cell carcinoma (HCC) comprises about 5% of thyroid carcinoma cases. Partly because of its rarity there is much we still need to know about HCC as compared to other histological cancer subtypes.

methodsWe conducted a systematic literature review following PRISMA guidelines and meta-analysis, from 2000 to 2020, to investigate the main characteristics of HCC and clarify information concerning tumor behavior and treatment.

resultsOur review included data from 9638 patients reported in 27 articles over the past 20 years. This tumor occurred more frequently in women (67.5%). The mean age was 57.6 years, and the mean size of the neoplasm at diagnosis was 30 mm. Extrathyroidal extension was common (24%) but lymph node metastasis was not (9%). Total thyroidectomy was the most common surgical approach, with neck dissection usually performed in cases with clinically apparent positive neck nodes. Radioiodine therapy was frequently applied (54%), although there is no consensus about its benefits. The mean 5- and 10-year overall survival was 91% and 76%, respectively.

conclusionThis review serves to further elucidate the main characteristics of this malignancy. HCC of the thyroid is rare and most often presents with a relatively large nodule, whereas lymph node metastases are rare. Given the rarity of HCC, a consensus on their treatment is needed, as doubts remain concerning the role of specific tumor findings and their influence on management.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsThyroid NeoplasmsAdenoma, OxyphilicFemaleHumansIodine RadioisotopesLymph NodesMiddle AgedNeck DissectionNeoplasm Recurrence, LocalRetrospective StudiesThyroid GlandIodine RadioisotopesHürthle cell carcinomaLymph node metastasisRadioiodine therapyThyroidTumor size

Identifiers

PMID34423400
OpenAlexW3194972019

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.