Evidence map›Paper›PMID 36658256›Full record

ArticleScientific reports2023

Thyroglobulin expression, Ki-67 index, and lymph node ratio in the prognostic assessment of papillary thyroid cancer.

Helene Lindfors, Marie Karlsen, Ellinor Karlton, Jan Zedenius, Catharina Larsson, Catharina Ihre Lundgren, C Christofer Juhlin, Ivan Shabo

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
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

14 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. 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

8 authors at 2 institutions in 1 country.

Helene LindforsDepartment of Surgery, Sundsvall Hospital, 851 86, Sundsvall, Sweden.
Marie KarlsenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Ellinor KarltonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Jan ZedeniusDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Catharina LarssonDepartment of Oncology-Pathology, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Catharina Ihre LundgrenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
C Christofer JuhlinDepartment of Oncology-Pathology, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Ivan ShaboDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 77, Stockholm, SE, Sweden. ivan.shabo@ki.se.
Karolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical significance of thyroglobulin (Tg) expression in papillary thyroid cancer (PTC) has not been systematically explored in relation to the Ki-67 index, lymph node ratio (LNR), or other conventional prognostic predictors. In this retrospective study of 327 patients with PTC, we investigated the immunohistochemical expression of Tg in both primary tumors and their matching lymph node metastases in relation to the Ki-67 index, LNR, and clinical data. Tumoral Tg immunoreactivity was inversely correlated to the Ki-67 index and tumor recurrence. The Ki-67 index was higher in lymph node metastases (mean 4%) than in the primary tumors (mean 3%). Reduced Tg expression, estimated as 0-25% Tg positive tumor cells, was more common in lymph node metastases compared to primary tumors. In addition to advanced metastatic burden (defined as N1b stage and LNR ≥ 21%), low Tg expression (0-25% positive tumor cells) in lymph node metastases had a significant prognostic impact with shorter recurrence-free survival. These findings support the potential value of histopathological assessment of Tg expression and Ki-67 index in lymph node metastases as complementary predictors to anticipate the prognosis of PTC patients better.

Indexed as

ThyroglobulinThyroid NeoplasmsHumansKi-67 AntigenLymphatic MetastasisLymph Node RatioLymph NodesNeoplasm Recurrence, LocalPrognosisRetrospective StudiesThyroid Cancer, PapillaryKi-67 AntigenThyroglobulin

Identifiers

PMID36658256
PMCPMC9852547
OpenAlexW4317501192

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.