Evidence map›Paper›PMID 40343067›Full record

ArticleFrontiers in endocrinology2025

Analysis of risk factors and construction of a predictive model for contralateral occult carcinoma in patients with unilateral papillary thyroid carcinoma.

ShiYi Zhao, Wei Yan, Jin Yu, DeJie Chen

Abstract read
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Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

ShiYi ZhaoCollege of Medicine, Wuhan University of Science and Technology, Wuhan, China.
Wei YanDepartment of Thyroid and Breast Surgery, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China.
Jin YuCollege of Medicine, Wuhan University of Science and Technology, Wuhan, China.
DeJie ChenDepartment of Thyroid and Breast Surgery, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to investigate the risk factors associated with contralateral occult carcinoma in patients with unilateral papillary thyroid carcinoma and to develop a corresponding prediction model to enhance early detection and clinical management of occult carcinoma. Methods: The clinical data of 430 patients who underwent total thyroidectomy for unilateral papillary thyroid carcinoma at Xiangyang Central Hospital between January 2021 and December 2022 were collected. Univariate and multivariate logistic regression analyses were performed to identify risk factors for contralateral occult cancer in patients with unilateral thyroid carcinoma. A prediction model was established, and the diagnostic value of the model was assessed using calibration curves and decision curve analysis. Results: The results of univariate logistic regression analysis indicated that tumor diameter, tumor location, multifocality, presence of contralateral benign nodules, and lateral neck lymph node metastasis were risk factors for contralateral occult carcinoma in patients with unilateral thyroid cancer (P < 0.05). Multivariate logistic regression analysis further showed that a tumor diameter >1 cm, proximity of the tumor to the isthmus, multifocality, presence of contralateral benign nodules, and lateral neck lymph node metastasis were independent risk factors for contralateral occult carcinoma in unilateral thyroid cancer (P < 0.01). A risk nomogram model was developed based on these five risk factors, with areas under the curve (AUC) of 0.921 and 0.96 for the training and validation sets, respectively. The calibration curve demonstrated good consistency, and decision curve analysis indicated that the model had a high level of net benefit. Conclusion: A tumor diameter >1 cm, proximity of the tumor to the isthmus, lateral neck lymph node metastasis, presence of contralateral benign nodules, and multifocality are independent risk factors for contralateral occult carcinoma in patients with unilateral papillary thyroid carcinoma. The predictive model developed in this study demonstrates strong predictive ability for the occurrence of contralateral occult carcinoma in patients with unilateral papillary thyroid carcinoma.

Indexed as

Thyroid Cancer, PapillaryThyroid NeoplasmsAdultAgedFemaleHumansLymphatic MetastasisMaleMiddle AgedNomogramsPrognosisRetrospective StudiesRisk FactorsThyroidectomyYoung Adultoccult cancerpapillary thyroid cancer (PTC)predictive modellingrisk factortotal thyroidectomy (TT)

Identifiers

PMID40343067
PMCPMC12058469

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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.