Evidence map›Paper›PMID 41153035›Full record

ArticleEuropean journal of medical research2025

The association of thyroid peroxidase antibodies with microvascular invasion in patients with papillary thyroid carcinoma.

Jinlong Huo, Youming Guo, Yan Wu, Wei Liu

Abstract read
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Article in European journal of medical research, 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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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jinlong HuoDepartment of Breast and Thyroid Surgery, The Third Affiliated Hospital of Zunyi Medical University (First People's Hospital of Zunyi), Zunyi, Guizhou, China.
Youming GuoDepartment of Breast and Thyroid Surgery, The Third Affiliated Hospital of Zunyi Medical University (First People's Hospital of Zunyi), Zunyi, Guizhou, China.
Yan WuDepartment of Breast and Thyroid Surgery, The Third Affiliated Hospital of Zunyi Medical University (First People's Hospital of Zunyi), Zunyi, Guizhou, China.
Wei LiuDepartment of Breast and Thyroid Surgery, The Third Affiliated Hospital of Zunyi Medical University (First People's Hospital of Zunyi), Zunyi, Guizhou, China. datoulw@163.com.

Funding

Technology and Science Bureau of Zunyi 2024-21the Department of Science and Technology of Guizhou Province Qiankehe Foundation-ZK[2023] General 485the Science and Technology Fund of Guizhou Provincial Health Commission gzwkj 2025-310the Technology and Science Bureau of Zunyi 2022-67
6 · The paper itself

Abstract

purposePapillary Thyroid Carcinoma (PTC) is the most prevalent thyroid malignancy. Current evidence on the association between thyroid peroxidase antibody (TPOAB) levels and microvascular invasion (MVI) in PTC is limited. The aim of this study was to investigate the association between TPOAB and MVI in patients with PTC.

methodsThis retrospective study included patients with PTC who underwent surgery at the First People's Hospital of Zunyi between May 22, 2022, and March 06, 2024. Preoperative TPOAB levels were recorded, along with several potential confounding factors, including sex, age, BMI, smoking, drinking, tumor size, multiple foci, thyroglobulin antibody (TGAB), thyroglobulin (Tg) and preoperative thyroid function. TPOAB levels were log-transformed and denoted as lnTPOAB for analysis. MVI was determined based on the postoperative pathology reports. Multivariable logistic regression analysis was conducted to investigate the association between lnTPOAB and MVI risk, adjusted for confounding factors. A restricted cubic spline model was employed to examine the nonlinear relationship between ln TPOAB and MVI. The inflection point was calculated using a two-piece linear-regression model. Subgroup analyses were performed to verify the association between TPOAB and MVI.

resultsA total of 409 participants were included in the study. In the multivariable logistic regression model, after adjusting for all potentially confounding variables, the odds ratio (95% confidence interval) of lnTPOAB associated with MVI was 1.18 (1.03, 1.34; P = 0.013). The restricted cubic spline demonstrated a non-linear association between lnTPOAB and MVI. The two-piecewise regression model indicated that the inflection point was - 1.1, corresponding to a raw estimate of TPOAB of 0.33 IU/ml. Subgroup analyses further validated the positive association between TPOAB levels and MVI in patients with PTC.

conclusionsElevated TPOAb levels were independently associated with higher odds of MVI. Therefore, TPOAb may act as a supportive preoperative risk marker, helping to guide the extent of surgery and, together with tumor size and biochemical markers, customize early postoperative follow-up strategies. However, its clinical value still requires confirmation in prospective studies.

trial registrationChiCTR2400084886, date of registration: May 27, 2024, retrospectively registered.

Indexed as

AutoantibodiesIodide PeroxidaseMicrovesselsThyroid Cancer, PapillaryThyroid NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNeoplasm InvasivenessRetrospective StudiesAutoantibodiesIodide PeroxidaseMicrovascular invasionPapillary thyroid carcinomaRestricted cubic splineThyroid peroxidase antibodies

Identifiers

PMID41153035
PMCPMC12570830

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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.