Evidence map›Paper›PMID 40269951›Full record

ArticleDiagnostic pathology2025

Exploration of risk factors for the occurrence and recurrence of papillary thyroid carcinoma with Hashimoto's thyroiditis based on next-generation sequencing.

Wanxue Zhang, Bin Liu

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Article in Diagnostic pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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5 · Who and what money

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2 authors.

Wanxue ZhangDepartment of General Thyroid Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230031, China.
Bin LiuDepartment of General Thyroid Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230031, China. 13399519008@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the risk factors for the occurrence and recurrence of Hashimoto's thyroiditis (HT) combined with papillary thyroid carcinoma (PTC) using Next-Generation Sequencing (NGS).

methodsA total of 249 patients who underwent thyroid cancer surgery at the First Affiliated Hospital of Anhui Medical University from October 2020 to December 2020 were included in this study. They were divided into two groups: HT and non-HT (NHT) groups based on whether they were diagnosed with HT or not. Clinical data, NGS results, and 4-year follow-up recurrence were collected and analyzed using binary logistic regression and COX regression analysis to identify factors influencing the occurrence and recurrence of PTC with HT.

resultsPatients in the HT group had a higher percentage of low age, multifocality, high TgAb, and RET rearrangement compared to the NHT group. However, they had a lower rate of extrathyroidal extension (ETE), lymph node metastasis (LNM), and BRAF mutation (P < 0.05). Among patients with RET rearrangement in the HT group, there was a higher rate of LNM and recurrence (P < 0.05). Patients with BRAF mutation in the HT group were more likely to be male and have multifocal tumors (P < 0.05). Binary logistic regression analysis showed that multifocality, RET rearrangement, low age, and lymph node negativity were risk factors for HT combined with PTC. Univariate COX analysis revealed that multifocality, LNM, ETE, recurrence risk stratification, TSH, RET rearrangement, and the interaction between RET rearrangement and Hashimoto's effect were risk factors for recurrence after PTC. Multifactorial COX regression analysis showed that ETE and recurrence risk stratification were risk factors for recurrence after PTC surgery.

conclusionsMultifocality, high TgAb, low age, and lymph node negativity can assist in the preoperative diagnosis of HT combined with PTC. BRAF mutations are less common in HT combined with PTC but do not significantly affect recurrence. Patients with RET rearrangement in addition to HT have a higher risk of recurrence, and special attention should be paid to intraoperative clearance in these patients.

Indexed as

Hashimoto DiseaseNeoplasm Recurrence, LocalThyroid Cancer, PapillaryThyroid NeoplasmsAdultAgedFemaleHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedMutationProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-retRetrospective StudiesRisk FactorsBRAF protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-retRET protein, humanHashimoto's DiseaseNext Generation SequencingPapillary thyroid carcinomaRET rearrangement

Identifiers

PMID40269951
PMCPMC12016337

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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.