Table 2.
Impact of BRAF V600E or TERT C228T or Their Coexistence on Clinicopathologic Outcomes of PTC
PTC Type and Clinicopathologic Outcomes | No Mutation |
BRAF Mutation Only |
P |
TERT Mutation Only |
P |
BRAF + TERT Mutation |
P* | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. | % | No. of Missing Cases | No. | % | No. of Missing Cases | No. | % | No. of Missing Cases | No. | % | No. of Missing Cases | ||||
All PTC | |||||||||||||||
Total No. of cases | 287 | 159 | 26 | 35 | |||||||||||
Age at diagnosis, years† | 45.3 ± 13.7 | 44.8 ± 13.5 | .724 | 44.0 ± 14.6 | .651 | 57.4 ± 14.1 | < .001 | ||||||||
Sex, male | 65 | 22.6 | 45 | 28.3 | .185 | 8 | 30.8 | .348 | 24 | 68.6 | < .001 | ||||
Tumor size, cm | 7 | 8 | .044 | 2 | .885 | 4 | .002 | ||||||||
Median | 1.7 | 2.0 | 1.8 | 2.7 | |||||||||||
Interquartile range | 1.0-3.0 | 1.3-3.0 | 1.1-2.5 | 1.3-4.0 | |||||||||||
Multifocality | 114 | 39.7 | 56 | 36.6 | 6 | .522 | 8 | 32.0 | 1 | .448 | 12 | 35.3 | 1 | .617 | |
Extrathyroidal invasion | 31 | 10.8 | 35 | 23.0 | 7 | .001 | 4 | 16.0 | 1 | .503 | 23 | 69.7 | 2 | < .001 | |
Vascular invasion, n (%) | 35 | 12.2 | 1 | 28 | 18.5 | 8 | .074 | 6 | 24.0 | 1 | .096 | 8 | 27.6 | 6 | .022 |
Lymph node metastasis | 58 | 20.2 | 64 | 42.4 | 8 | < .001 | 10 | 38.5 | .031 | 21 | 63.6 | 2 | < .001 | ||
Distant metastatic recurrence | 8 | 2.8 | 2 | 1.3 | .506 | 2 | 7.7 | .198 | 10 | 28.6 | < .001 | ||||
Disease stage | 6 | ||||||||||||||
I | 219 | 76.3 | 106 | 69.3 | 18 | 69.2 | 8 | 22.9 | |||||||
II | 27 | 9.4 | 11 | 7.2 | 4 | 15.4 | 2 | 5.7 | |||||||
III | 33 | 11.5 | 29 | 18.9 | 2 | 7.7 | 10 | 28.6 | |||||||
IV | 8 | 2.8 | 7 | 4.6 | .106 | 2 | 7.7 | .373 | 15 | 42.9 | < .001 | ||||
III+IV | 41 | 14.3 | 36 | 23.5 | .015 | 4 | 15.4 | .776 | 25 | 71.4 | < .001 | ||||
Tumor recurrence | 25 | 8.7 | 26 | 16.3 | .015 | 5 | 19.2 | .081 | 24 | 68.6 | < .001 | ||||
Total 131I dose, mCi | 5 | 11 | .084 | 2 | .560 | 5 | < .001 | ||||||||
Median | 74.6 | 75.4 | 77 | 100 | |||||||||||
Interquartile range | 0-100 | 0-100 | 0-100 | 98-136 | |||||||||||
Total follow-up, months | .048 | .030 | .864 | ||||||||||||
Median | 28 | 17 | 66 | 24 | |||||||||||
Interquartile range | 6-85 | 3-52 | 12-116 | 12-60 | |||||||||||
CPTC | |||||||||||||||
Total No. of cases | 200 | 136 | 19 | 28 | |||||||||||
Age at diagnosis, years† | 46.0 ± 13.7 | 44.7 ± 12.8 | .398 | 44.2 ± 16.1 | .603 | 56.7 ± 14.2 | < .001 | ||||||||
Sex, male | 47 | 23.5 | 41 | 30.1 | .174 | 6 | 31.6 | .432 | 19 | 67.9 | < .001 | ||||
Tumor size, cm | 7 | 8 | < .001 | 2 | .349 | 4 | < .001 | ||||||||
Median | 1.5 | 2 | 1.5 | 2.8 | |||||||||||
Interquartile range | 0.8-2.3 | 1.3-2.5 | 1.0-2.3 | 1.7-3.5 | |||||||||||
Multifocality | 81 | 40.5 | 44 | 33.8 | 6 | .223 | 6 | 33.3 | 1 | .552 | 10 | 37.0 | 1 | .730 | |
Extrathyroidal invasion | 25 | 12.5 | 29 | 22.5 | 7 | .017 | 4 | 22.2 | 1 | .272 | 19 | 73.1 | 2 | < .001 | |
Vascular invasion | 21 | 10.5 | 1 | 23 | 18.0 | 8 | .055 | 6 | 33.3 | 1 | .005 | 4 | 18.2 | 6 | .287 |
Lymph node metastasis | 49 | 24.5 | 58 | 45.0 | 7 | < .001 | 9 | 47.4 | .031 | 18 | 69.2 | 2 | < .001 | ||
Distant metastatic recurrence | 6 | 3.0 | 1 | 0.7 | .248 | 2 | 10.5 | .146 | 6 | 21.4 | < .001 | ||||
Disease stage | 6 | ||||||||||||||
I | 159 | 79.5 | 92 | 70.8 | 13 | 68.4 | 6 | 21.4 | |||||||
II | 13 | 6.5 | 9 | 6.9 | 2 | 10.5 | 1 | 3.6 | |||||||
III | 21 | 10.5 | 24 | 18.5 | 2 | 10.5 | 8 | 28.6 | |||||||
IV | 7 | 3.5 | 5 | 3.8 | .212 | 2 | 10.5 | .429 | 13 | 46.4 | < .001 | ||||
III+IV | 28 | 14.0 | 29 | 22.3 | .051 | 4 | 21.0 | .492 | 21 | 75.0 | < .001 | ||||
Tumor recurrence | 18 | 9.0 | 22 | 16.2 | .046 | 4 | 21.0 | .107 | 20 | 71.4 | < .001 | ||||
Total 131I dose, mCi | 3 | 10 | .193 | 2 | .110 | 5 | < .001 | ||||||||
Median | 50.9 | 75 | 100 | 100 | |||||||||||
Interquartile range | 0-100 | 0-100 | 0-103 | 75-131.5 | |||||||||||
Total follow-up, months | .025 | .067 | .686 | ||||||||||||
Median | 30.5 | 17 | 73 | 35.5 | |||||||||||
Interquartile range | 8-79 | 2-48.5 | 12-108 | 12-61.5 |
Abbreviations: CPTC, conventional papillary thyroid cancer; PTC, papillary thyroid cancer.
P values are from the comparison of the indicated genetic group in the column immediately left of the P value column with the no mutation group.
Data were summarized with means ± standard deviations.