Table 2.
Clinical and histopathological characteristics of encapsulated (all cured) and non-encapsulated MTC (cured and not cured).
| Tumor capsule | Present | Absent | |
|---|---|---|---|
| No. of patients (%) | 7 (15.9) | 37 (84.1) | |
| Biochemical cure | Cured (n = 30, 68.2%) | Not cured (n = 14, 31.8%) | |
| No. of patients (%) | 7 (100) | 23 (62.2) | 14 (31.8) |
| Age at thyroidectomy, years [median, (IQR), range] | 57 [34–60] (27–65) | 56 [48–69] (7–78) | 55 [45.3–66] (31–77) |
| Gender, no. of female/male patients | 3/4 | 19/4 | 5/9 |
| Hereditary/sporadic MTC | 0/7 | 2/21 | 4/10 |
| Preoperative Ctn level, pg/mL [median, (IQR), range] | 398 [126.5–7336] (102–13540) | 75 [42.2–127] (12.6–337) | 787 [340.5–2905.5] (90.2–9916) |
| Primary tumor size, mm [median, (IQR), range] | 33 [20–38] (14–65) | 8.6 [6–15] (1–35) | 16 [12–22.3] (7–41) |
| No. of patients with multifocal MTC (%) | 0 (0) | 2 (8.7) | 4 (28.6) |
| No. of patients with intratumoral gross calcifications (%) | 3 (42.9) | 0 (0) | 3 (21.4) |
| No. of patients with desmoplastic stromal reaction, DSR (%) | 2/6 (33.3) | 7/11 (63.6) | 9/9 (100) |
| No. of patients with extrathyroid extension, ETE (%) | 0 (0) | 0 (0) | 4 (28.6) |
| No. of patients with vascular invasion (%) | 0 (0) | 0 (0) | 10 (71.4) |
| No. of patients with nodal disease, N+ (%) | 0 (0) | 3 (13) | 12 (85.7) |
| N+ in the central compartment, N1a | 0 (0) | 3 (100) | 12 (100) |
| N+ in the laterocervical compartment, N1b | 0 (0) | 0 (0) | 9 (60) |
| No. of node metastases removed, total [median, (IQR), range] | 0 (0) | 7 (0) [0] (0–3) | 140 (7) [2–15.5] (0–39) |
| No. of nodes removed, total [median, (IQR), range] | 72 (7) [1–13] (0–39) | 92 (1) [0–7] (0–22) | 380 (31) [15.5–48] (6–82) |
| AJCC TNM 8th edition clinical staging (%) | |||
| Stage I | 2 (28.6) | 18 (78.3) | 2 (14.3) |
| Stage II | 5 (71.4) | 2 (8.7) | 0 (0) |
| Stage III | 0 (0) | 3 (13) | 3 (21.4) |
| Stage IVA | 0 (0) | 0 (0) | 9 (64.3) |
| Stage IVB | 0 (0) | 0 (0) | 0 (0) |
| Stage IVC | 0 (0) | 0 (0) | 0 (0) |
| Follow-up, months [median, (IQR), range] | 18.9 [16.1–23.9] (11–132.8) | 54.8 [19.6–112] (3.5–350.6) | 20.9 [6.3–47.1] (0.3–158.3) |
AJCC TNM, American Joint Committee on Cancer Tumor-Node-Metastases; Ctn, calcitonin; IQR, interquartile range.