Evidence map›Paper›PMID 40335972›Full record

ArticleBMC endocrine disorders2025

Insular thyroid carcinoma: epidemiological pattern, factors contributing to recurrence and distant metastasis.

Omar Hamdy, Shadi Awny, Mohamed H Sous, Mohamed A Abdelfattah, Ahmed E Eladl, Amr F Elalfy

Erratum issuedAbstract read
In one paragraph

Article in BMC endocrine disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Omar HamdySurgical Oncology Department, Oncology Center, Mansoura University, Mansoura, 35516, Egypt. omarhamdy@mans.edu.eg.ORCID http://orcid.org/0000-0002-2924-4207
Shadi AwnySurgical Oncology Department, Oncology Center, Mansoura University, Mansoura, 35516, Egypt.
Mohamed H SousFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohamed A AbdelfattahFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Ahmed E EladlPathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Amr F ElalfySurgical Oncology Department, Oncology Center, Mansoura University, Mansoura, 35516, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsular thyroid carcinoma is a rare subtype of thyroid cancer that constitutes an intermediate entity between differentiated (papillary & follicular) and undifferentiated (anaplastic) thyroid cancer.

methodsThis is a retrospective study that included all the patients with insular carcinoma of the thyroid gland who underwent surgical treatment in our department from January 2009 to December 2023. The epidemiological, clinical, and oncological data of the included patients were analyzed.

resultsA total of 1690 patients with thyroid cancer were screened. Twenty-four patients were included in the final analysis. The median time to recurrence (95% CI) was 24 months while the Restricted Mean Survival Time (RMST) at time point 24 months (95% CI) was 16.95. The median time to distant metastasis is 60 months while RMST at time point 24 months was 17.1. The median time to death was 55 months. There was a statistically significant difference in the RMST at 24 months for overall survival (OS) as regards older age, presence of comorbidity, multifocality, and lack of adjuvant RAI, but not sex. Male sex and lack of adjuvant RAI therapy were statistically significant independent predictors of the time to locoregional recurrence. There was no statistically significant difference in the time to distant metastasis as regards all the variables.

conclusionsFrom our results, we can conclude that male sex, multifocality, and lack of RAI affect survival in patients with insular thyroid carcinoma. Adequate surgical resection of the thyroid gland and draining lymph nodes in addition to radioactive iodine remains the mainstay of treatment.

Indexed as

Neoplasm Recurrence, LocalThyroid NeoplasmsAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm MetastasisPrognosisRetrospective StudiesRisk FactorsSurvival RateThyroidectomyInsularPrognosisStagingSurvivalThyroid cancer

Identifiers

PMID40335972
PMCPMC12056987

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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.