Evidence map›Paper›PMID 42724993›Full record

ArticleGland surgery2026

Influencing factors and prediction model of ultrasound-based false-negative central lymph node metastasis in localized papillary thyroid carcinoma.

Ningning Ren, Xiaoyi Ren, Xingsong Tian

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Article in Gland surgery, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ningning Ren *Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xiaoyi Ren *Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xingsong Tian *Department of Breast and Thyroid Surgery, Shandong Provincial Hospital, Shandong University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with papillary thyroid cancer (PTC) exhibited a high false-negative rate for central lymph nodes (CLNs), with unknown influencing factors and predictive models. This study aimed to identify risk factors for false-negative CLN findings in a cohort study and to develop a predictive model to support clinical decision-making. Methods: This cohort study included patients admitted to the Breast and Thyroid Surgery Department of Shandong Provincial Hospital, China, between January 2013 and December 2023. All patients included in the study were confirmed to papillary thyroid cancer (TC) based on postoperative paraffin-embedded pathology. False-negative CLNs refers to metastasis undetected by preoperative ultrasound but confirmed postoperatively by pathology. Logistic regression, forest graph and nomogram were used to calculate and display statistical difference between influencing factors and the false-negative rate of CLNs. Results: A total of 5,614 patients with papillary TC [44.19±11.14 years, 4,469 women (79.6%)] were analyzed. Logistic regression analysis showed that gender [odds ratio (OR): 1.832, 95% confidence interval (CI): 1.570-2.137, P<0.001], chronic disease (OR: 0.655, 95% CI: 0.552-0.778, P<0.001), diameter of malignant thyroid nodules under ultrasound (OR: 1.816, 95% CI: 1.511-2.182, P<0.001), diameter of CLNs under ultrasound (OR: 1.404, 95% CI: 1.074-1.836, P=0.01), enlargement of lateral lymph nodes (LLNs) under ultrasound (OR: 1.550, 95% CI: 1.213-1.980, P<0.001), diameter of LLN under ultrasound (OR: 0.645, 95% CI: 0.435-0.956, P=0.03) were statistically significant preoperative influencing factors. Conclusions: This cohort study indicated that the false-negative rate of CLNs was quite common. Personalized preventive CLN dissection was suggested.

Indexed as

central lymph nodes (CLNs)false negativefine needle punctureThyroid cancer (TC)ultrasound

Identifiers

PMID42724993
PMCPMC13561624

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