Table 1.
Comparison of clinicopathological characteristics between patients with low-risk PTMC without LNM who underwent lobectomy with prophylactic CCND (N=4,927) (Group I) and patients with low-risk PTMC except clinically apparent LNM who underwent total thyroidectomy with MRND (N=421) (Group II)
Group I | Group II | P-value | |
---|---|---|---|
Age (years), mean±SD | 46.1±8.7 | 47.5±1.7 | 0.001 |
Male/female ratio | 901/4,026 (18.2%/81.8%) | 117/304 (27.7%/72.3%) | <0.001 |
Tumor size (cm), mean±SD | 0.5±0.2 | 0.7±0.2 | 0.001 |
Multifocality | 496 (10.1%) | 197 (46.7%) | <0.001 |
Microscopic ETE | 1,326 (26.8%) | 243 (57.7%) | <0.001 |
Central node metastasis | 1,024 (20.7%) | 308 (73.1%) | <0.001 |
Retrieval LN | 4.8±3.7 | 8.5±6.6 | <0.001 |
Central LNR | 0.11±0.03 | 0.53±0.22 | 0.013 |
Lateral node metastasis | – | 421 (100%) | – |
Retrieval LN | – | 30.1±13.8 | – |
LNR | – | 0.23±0.15 | – |
Total LNR | 0.11±0.03 | 0.30±0.12 | 0.031 |
Pathologic type | 0.017 | ||
Papillary | 4,927 (100%) | 421 (100%) | |
Classic | 4,752 (96.5%) | 401 (95.2%) | |
Follicular variant | 165 (3.3%) | 17 (4.1%) | |
Diffuse sclerosing | 10 (0.2%) | 3 (0.7%) | |
T stage | <0.001 | ||
T1 | 3,602 (73.1%) | 179 (70.3%) | |
T2 | 2 (0.02%) | 0 | |
T3 | 1,323 (26.7%) | 242 (37%) | |
T4 | 0 | 0 | |
N stage | <0.001 | ||
N0 | 3,903 (79.2%) | 0 | |
N1a | 1,024 (20.7%) | 0 | |
N1b | 0 | 421 (100%) | |
TNM staging | <0.001 | ||
Stage I | 4,114 (83.5%) | 226 (53.6%) | |
Stage II | 3 (0.001%) | 0 | |
Stage III | 810 (16.4%) | 12 (2.8%) | |
Stage IV | 0 | 183 (43.4%) | |
Distant metastasis | 0 | 2 (0.4%) | 0.006 |
Recurrence | 48 (0.9%) | 22 (5.2%) | <0.001 |
Disease-specific mortality rate | 0 | 2 (0.4%) | 0.006 |
Abbreviations: CCND, central compartment neck node dissection; ETE, extrathyroidal extension; LN, lymph node; LNM, lymph node metastasis; LNR, lymph node ratio; MRND, modified radical neck dissection; PTMC, papillary thyroid microcarcinoma; TNM, tumor node metastasis.