High suspicion US pattern on the ATA guidelines, not cytologic diagnosis, may be a predicting marker of lymph node metastasis in patients with classical papillary thyroid carcinoma

Eun Cho, Eun Kyung Kim, Hee Jung Moon, Jung Hyun Yoon, Vivian Y. Park, Jin Young Kwak

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: To evaluate the utility of ultrasound (US) patterns based on the 2015 American Thyroid Association (ATA) guidelines and cytologic diagnosis of the Bethesda System for Reporting Thyroid Cytopathology as predicting markers for lymph node metastasis (LNM) in classical papillary thyroid carcinoma (PTC). Methods: A retrospective analysis of 657 patients with classical PTC who underwent ultrasound-guided fine-needle aspiration (US-FNA) and surgery were included in this study. The associations between LNM and the US features or the Bethesda System for Reporting Thyroid Cytopathology were evaluated. Results: Multivariate logistic regression analysis showed that the high suspicion US pattern was independently associated with LNM (odds ratio = 3.081; 95% confidence interval = 1.515–6.262; P =.002). And the Bethesda category was not significantly associated with LNM (P =.056). Conclusions: The high suspicion US pattern of the 2015 ATA guidelines, not cytologic diagnosis, could be a predicting marker of LNM in patients with classical PTC.

Original languageEnglish
Pages (from-to)562-566
Number of pages5
JournalAmerican Journal of Surgery
Volume216
Issue number3
DOIs
Publication statusPublished - 2018 Sep

All Science Journal Classification (ASJC) codes

  • Surgery

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