Metabolic Syndrome as a Prognostic Factor in Papillary Thyroid Cancer Patients

• 영문명: Metabolic Syndrome as a Prognostic Factor in Papillary Thyroid Cancer Patients
• 발행기관: 대한내분비외과학회
• 저자명: Hyeong Eun Jeong Ha Rim Ahn Sang Yull Kang Hyun Jo Youn Sung Hoo Jung
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』23권4호, 113~122쪽, 전체 10쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2023.12.31

영문 초록

Purpose: Metabolic syndrome (MetS) is considered a risk factor and poor prognostic factor for several cancers, and increases the risk of thyroid cancer and aggressiveness of papillary thyroid cancer (PTC). Here, we investigated the association between a poor prognosis in patients with PTC, and MetS. Methods: Patients diagnosed with PTC who underwent thyroidectomy between January 2013 and December 2015 at our institution were included (n=789). We divided patients into two groups according to the presence of MetS—defined as three or more of the following criteria: central obesity, hypertension, insulin resistance, low high-density lipoprotein cholesterol, and high triglycerides—identified by retrospective medical record review. We analyzed the clinicopathologic factors between the two groups, univariate and multivariate analyses were performed, and survival outcomes were analyzed by propensity score matching. Results: The mean patient age and median follow-up period were 47.0±11.2 years and 6.14 years, respectively; 119 patients (15.1%) were diagnosed with MetS. Significant differences between groups were identified regarding sex, age, operation extent, central neck dissection, lateral neck dissection, extrathyroidal extension (ETE), lateral lymph node metastasis, T stage, N stage, and radioactive iodine therapy. Old age, ETE, and MetS were identified as prognostic factors of recurrence-free survival (RFS) in the multivariate analysis. The 5-year RFS rates were 94.9% and 99.1% in the non-MetS and MetS groups, respectively, which was statistically significant (P=0.021). Conclusion: MetS is a prognostic factor for RFS among patients with PTC in our hospital.

목차

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

CONCLUSION

REFERENCES

키워드

Metabolic syndrome Thyroid neoplasms Prognosis