Evidence map›Paper›PMID 41078297›Full record

ArticleBalkan medical journal2025

Enhancing Diagnostic Accuracy in Bethesda III Thyroid Nodules: The Predictive Value of Serum IL-17A and Calprotectin

Muzaffer Serdar Deniz, Fatih Karataş, Öykü Uludağ

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Article in Balkan medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Muzaffer Serdar DenizDepartment of Endocrinology, Karabük University Traning and Research Hospital, Karabük, TürkiyeORCID 0000-0002-8905-3955
Fatih KarataşDepartment of Medical Oncology, Karabük University Traning and Research Hospital, Karabük, TürkiyeORCID 0000-0003-4022-7923
Öykü UludağDepartment of Internal Medicine, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, TürkiyeORCID 0000-0002-3955-8429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thyroid nodules are common in clinical practice, with malignancy detected in about 5% of cases. Current risk-stratification approaches, which rely on sonographic features and cytopathological assessment, have notable limitations, especially for indeterminate nodules categorized as Bethesda III. Aims: To address these diagnostic challenges, this study evaluated the utility of preoperative serum interleukin (IL)-17A and calprotectin levels as potential biomarkers for distinguishing malignant from benign Bethesda III thyroid nodules. Study Design: This single-center prospective methodological study. Methods: In this prospective study, 76 patients with Bethesda III nodules scheduled for thyroidectomy were enrolled. Based on histopathological findings, nodules were classified as benign (n = 41) or malignant (n = 35). Comprehensive patient information was collected, including demographics, medical history, and detailed clinical parameters related to nodule characteristics and laboratory results. Circulating biomarkers measured included thyroid-stimulating hormone, free T3, free T4, thyroglobulin (TG), anti-TG, anti-thyroid peroxidase, calcitonin, IL-17A, and calprotectin. Results: Patients with malignant nodules (n = 35) exhibited significantly higher preoperative IL-17A and calprotectin levels compared with those with benign nodules (n = 41) ( Conclusion: IL-17A and calprotectin emerge as promising biomarkers for refining Bethesda III nodule stratification. Incorporating these inflammatory markers into existing diagnostic protocols may substantially reduce unnecessary surgical interventions, thereby alleviating patient anxiety, surgical risks, and healthcare costs.

Indexed as

Interleukin-17Leukocyte L1 Antigen ComplexThyroid NoduleAdultAgedBiomarkersFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesROC CurveBiomarkersIL17A protein, humanInterleukin-17Leukocyte L1 Antigen Complex

Identifiers

PMID41078297
PMCPMC12576513

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