Research Article

Change in Antithyroglobulin Antibody Levels is a Good Predictor of Responses to Therapy in Antithyroglobulin Antibody-Positive Pediatric Papillary Thyroid Carcinoma Patients

Table 2

Univariate analysis clinicopathologic factors associated with responses to therapy.

No. of patientsAcceptableUnacceptable

Age at diagnosis of DTC
 ≤1513 (27.08%)7 (25.00%)6 (30.00%)0.701
 >1535 (73.93%)21 (75.00%)14 (70.00%)
Sex
 Female44 (91.67%)25 (89.29%)19 (95.00%)0.860
 Male4 (8.3%)3 (10.71%)1 (5.00%)
Number of thyroid surgeries
 140 (83.33%)24 (85.71%)16 (80.00%)0.896
 >18 (16.67%)4 (14.29%)4 (20.00%)
Tumor diameter (cm)
 ≤224 (50.0%)15 (53.57%)9 (45.00%)0.807
 >2, ≤416 (33.33%)9 (32.14%)7 (35.00%)
 ≥48 (16.67%)4 (14.27%)4 (10.00%)
Multiplicity
 Single26 (54.17%)16 (57.14%)10 (50.00%)0.624
 Multiple22 (45.83%)12 (42.86%)10 (50.00%)
Extra-thyroidal extension
 No31 (64.58%)24 (85.71%)7 (35.00%)<0.001
 Minimal/gross17 (35.42%)4 (14.28%)13 (65.00%)
N stage
 N0 or Nx4 (8.33%)2 (7.14%)2 (10.00%)0.536
 N1a11 (22.92%)8 (28.57%)3 (15.00%)
 N1b33 (68.75%)18 (64.29%)15 (75.00%)
Initial risk stratification
 Low/intermediate26 (54.17%)22 (78.57%)4 (20.00%)<0.001
 High22 (45.83%)32 (21.43%)16 (80.00%)
With LT
 No25 (52.08%)13 (46.43%)12 (60.00%)0.353
 Yes23 (47.92%)15 (53.57%)8 (40.00%)
Number of courses for 131I therapy
 140 (83.33%)24 (85.71%)16 (80.00%)0.896
 >18 (16.67%)4 (14.29%)4 (20.00%)
Cumulative dose of 131I activities (mCi)
 ≤10040 (83.33%)24 (85.71%)13 (65.00%)0.182
 >1008 (16.67%)4 (14.29%)7 (14.29%)
sTg (ng/ml)
 <132 (66.67%)19 (67.86%)13 (65.00%)0.836
 ≥118 (33.33%)9 (32.14%)7 (35.00%)
sTgAb (IU/ml)
 <50027 (56.25%)19 (67.86%)8 (40.00%)0.055
 ≥50021 (43.75%)9 (32.14%)12 (60.00%)
Suppressed Tg at first follow-up after RAI therapy
 Tg negative31 (64.58%)18 (64.29%)13 (65.00%)0.959
 Tg positive17 (35.41%)10 (35.71%)7 (35.00%)
TgAb trend
 Decrease ≥50%28 (58.33%)25 (89.28%)4 (20.00%)<0.001
 Decrease <50% or increase20 (41.67%)3 (10.71%)16 (80.00%)
TgAb tends to be negative
 Yes23 (47.92%)20 (28.57%)3 (15.00%)<0.001
 No25 (52.08%)8 (71.43%)17 (85.00%)

sTg, stimulated Tg; sTgAb, stimulated TgAb; N, lymph node; LT, lymphocytic thyroiditis. .