Table 3. Risk Factor Analysis of Pediatric PTC Patients Who Underwent Total Thyroidectomy, Comparing Unilaterality and Bilaterality.
Characteristics | Unilaterality (n=42) | Bilaterality (n=18) | p value | Univariate | Multivariate | |||
---|---|---|---|---|---|---|---|---|
OR (95% CI) | p value | OR (95% CI) | p value | |||||
Age (yr) | 15.8±1.9 | 14.7±3.4 | 0.247 | 0.84 (0.67–1.06) | 0.149 | |||
Female sex | 36 (87.8) | 11 (64.7) | 0.064 | 0.26 (0.07–0.99) | 0.050 | 0.59 (0.11–3.24) | 0.544 | |
Primary tumor size (cm) | 2.5±1.0 | 3.8±2.5 | 0.053 | 1.56 (1.06–2.29) | 0.024 | 1.47 (0.96–2.25) | 0.077 | |
Primary tumor size >2 cm | 20 (48.8) | 13 (76.5) | 0.080 | 3.41 (0.95–12.24) | 0.060 | |||
Preoperative ultrasonography finding | ||||||||
Solid parenchyma | 33 (97.1) | 14 (100) | 0.999 | N/A | ||||
Calcifications | 24 (70.6) | 10 (71.4) | 0.999 | 1.04 (0.26–4.12) | 0.954 | |||
Irregular margins | 15 (44.1) | 8 (57.1) | 0.529 | 1.69 (0.48–5.93) | 0.414 | |||
Taller than wide | 2 (5.9) | 1 (7.1) | 0.999 | 1.23 (0.10–14.78) | 0.870 | |||
Hypoechoic | 23 (67.6) | 13 (92.9) | 0.081 | 6.22 (0.72–53.76) | 0.097 | |||
Ipsilateral nodule present | 7 (20.6) | 5 (35.7) | 0.294 | 2.14 (0.54–8.46) | 0.277 | |||
Contralateral nodule present | 11 (32.4) | 7 (50.0) | 0.330 | 2.09 (0.59–7.45) | 0.255 | |||
Final pathology* | ||||||||
PTC, classical | 26 (63.4) | 8 (47.1) | 0.380 | 0.51 (0.16–1.61) | 0.253 | |||
PTC diffuse sclerosing | 6 (14.6) | 3 (17.6) | 0.999 | 1.25 (0.27–5.71) | 0.773 | |||
PTC, tall cell | 6 (14.6) | 1 (5.9) | 0.661 | 0.37 (0.04–3.28) | 0.368 | |||
PTC, clear cell | 2 (4.9) | 2 (11.8) | 0.573 | 2.60 (0.34–20.17) | 0.361 | |||
PTC, others | 1 (2.4) | 1 (5.9) | 0.504 | 2.50 (0.15–42.44) | 0.526 | |||
Multifocality | 9 (22.0) | 8 (47.1) | 0.067 | 3.16 (0.95–10.55) | 0.061 | |||
Gross ETE | 7 (17.1) | 5 (29.4) | 0.307 | 2.02 (0.54–7.60) | 0.296 | |||
Number of central LN metastasis | 6.6±6.1 | 9.7±4.9 | 0.067 | 1.12 (1.01–1.24) | 0.034 | 1.07 (0.95–1.21) | 0.255 | |
Number of lateral LN metastasis | 11.6±6.3 | 20.3±9.6 | 0.013 | 1.06 (0.96–1.17) | 0.258 |
OR, odds ratio; CI, confidence interval; PTC, papillary thyroid cancer; ETE, extrathyroidal extension; LN, lymph node.
Data are presented as mean±standard deviation or n (%).
*PTC, others were not included since no patient had multifocal disease.