Nomogram for Predicting Central Node Metastasis in Papillary Thyroid Carcinoma
- Authors
- Kim, SK[Kim, Seo Ki]; Chai, YJ[Chai, Young Jun]; Park, I[Park, Inhye]; Woo, JW[Woo, Jung-Woo]; Lee, JH[Lee, Jun Ho]; Lee, KE[Lee, Kyu Eun]; Choe, JH[Choe, Jun-Ho]; Kim, JH[Kim, Jung-Han]; Kim, JS[Kim, Jee Soo]
- Issue Date
- 1-Mar-2017
- Publisher
- WILEY
- Keywords
- papillary thyroid carcinoma; central lymph node metastasis; central neck dissection; nomogram; ultrasonography
- Citation
- JOURNAL OF SURGICAL ONCOLOGY, v.115, no.3, pp.266 - 272
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF SURGICAL ONCOLOGY
- Volume
- 115
- Number
- 3
- Start Page
- 266
- End Page
- 272
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/29794
- DOI
- 10.1002/jso.24512
- ISSN
- 0022-4790
- Abstract
- Background: There was a difficulty for detecting Central lymph node metastasis (CLNM) in papillary thyroid carcinoma (PTC) patients. Therefore, the purpose of this study was to design a nomogram for predicting CLNM. Methods: A total of 10,763 PTC patients who underwent total thyroidectomy with central neck dissection ( CND) in Samsung Medical Center were randomly assigned to the training set (n = 7,535) and to the internal validation set ( n = 3,228). And, a total of 2,514 PTC patients who underwent total thyroidectomy with CND at Seoul National University Hospital were assigned to the external validation set. Results: The values of the area under the receiver operating characteristic curve in the training set, internal validation set, and external validation set were 0.721 (95% confidence interval [CI], 0.709-0.732), 0.706 ( 95% CI, 0.688-0.724), and 0.706 ( 95% CI, 0.685-0.727), respectively. Conclusions: We recommend the use of our nomogram to enable clinicians and patients to easily personalize and quantify the probability of CLNM during the both pre- and postoperative period. Clinicians may consider the prophylactic CND and meticulous postoperative evaluation in PTC patients with a high nomogram score. (C) 2016 Wiley Periodicals, Inc.
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