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. 2021 Feb 16;13:1551–1558. doi: 10.2147/CMAR.S295420

Table 2.

Risk Factors for Lateral LNM in Children and Adolescent Patients with PTC

Lateral LNM p B OR 95% C.I. P
No Yes Lower Limit Upper Limit
Age ≤15 8 23 0.001 0.770 2.16 0.677 6.897 0.193
16–21 43 28 0 1
Sex Female 41 35 0.173
Male 10 16
Multifocality Yes 5 26 <0.001 1.799 6.043 1.653 22.092 0.007
No 46 25 0 1
DSV-PTC Yes 1 7 0.027 0.414 1.513 0.122 18.714 0.747
No 50 44 0 1
ETE Minimal ETE 20 26 0.029 0.239 1.270 0.431 3.745 0.665
Massive ETE 3 9 0.403 1.496 0.183 12.227 0.707
No 28 16 0 1
LV invasion Yes 3 5 0.461
No 48 46
HT Yes 9 13 0.336
No 42 38
Intrathyroidal spreading Yes 7 13 0.135
No 44 38
Tumor Size 1.5 (1–2.5) 3 (2–4) <0.001 0.561 1.752 1.043 2.945 0.034
The number of CLNM 3 (1–4) 5 (3–7)) <0.001 0.207 1.230 1.028 1.472 0.023

Notes: Variables in bold show statistical significance. Based on the regression coefficient from above logistic regression analysis, the formula for calculating prediction model of lateral LNM in children and adolescent patients with PTC can be obtained as follows: Combined predictor=Multifocality+(0.561/1.799) × Tumor size +(0.207/1.799) × The number of central LNM= Multifocality+ 0.31×Tumor size +0.115 × The number of central LNM.

Abbreviations: ETE, extrathyroidal extension; LV invasion, lymphatic vascular invasion; CLNM, central lymph nodes metastasis; DSV-PTC, diffuse sclerosing variant-papillary thyroid cancer; HT, Hashimoto’s thyroiditis.