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 4

Univariate analysis for clinicopathologic factors associated with responses to therapy in P-Tg groups.

No. of patientsAcceptableUnacceptable

Age at diagnosis of DTC
 ≤154 (23.53%)(30.00%)1 (14.29%)0.864
 >1513 (76.47%)(70.00%)6 (85.71%)
Sex
 Female17 (100.0%)10 (100.00%)7 (100.00%)
Number of thyroid surgeries
 113 (76.47%)9 (90.0%)4 (57.14%)0.322
 >14 (23.53%)1 (10.0%)3 (42.86%)
Tumor diameter (cm)
 ≤27 (41.18%)5 (50.0%)2 (28.57%)0.529
 >2, ≤47 (41.18%)4 (40.0%)3 (42.86%)
 >43 (17.64%)1 (10.0%)2 (28.57%)
Multiplicity
 Single9 (52.94%)6 (60.0%)3 (42.86%)0.839
 Multiple8 (47.16%)4 (40.0%)4 (57.14%)
Extra-thyroidal extension
 No9 (52.94%)8 (80.0%)1 (14.29%)0.029
 Minimal/gross8 (47.16%)2 (20.0%)6 (85.71%)
N stage
 N0 or Nx1 (5.88%)0 (0%)1 (14.29%)0.100
 N1a4 (23.53%)4 (40.0%)0 (0%)
 N1b12 (70.59%)6 (60.0%)6 (85.71%)
Initial risk stratification
 Low/intermediate7 (41.18%)7 (70.0%)0 (0%)0.017
 High10 (58.82%)3 (30.0%)7 (100.0%)
With LT
 No9 (52.94%)5 (50.0%)3 (42.86%)1.000
 Yes8 (47.16%)5 (50.0%)4 (57.14%)
Number of courses for 131I therapy
 113 (76.47%)8 (80.0%)5 (71.43%)1.000
 >14 (23.53%)2 (20.0%)2 (28.57%)
Cumulative dose of 131I activities (mCi)
 ≤10012 (70.59%)8 (80.0%)4 (57.14%)0.633
 >1005 (29.41%)2 (20.0%)3 (42.86%)
sTg (ng/ml)
 <17 (41.18%)4 (40.0%)3 (42.86%)1.000
 ≥110 (58.82%)6 (60.0%)4 (57.14%)
sTgAb (IU/ml)
 <50011 (64.71%)8 (80.0%)3 (42.86%)0.288
 ≥5006 (35.29%)2 (20.0%)4 (57.14%)
TgAb trend
 Decrease >50%11 (64.71%)9 (90.0%)2 (28.57%)0.036
 Decrease <50% or increase6 (35.29%)1 (10.0%)5 (71.43%)
TgAb tends to be negative
 Yes8 (47.06%)3 (30.0%)5 (71.43%)0.234
 No9 (52.94%)7 (70.0%)2 (28.57%)
Tg trend
 Decrease ≥50%11 (64.71%)9 (90.0%)2 (28.57%)0.036
 Decrease <50% or increase6 (35.29%)1 (10.0%)5 (71.43%)
Tg tends to be negative
 Yes7 (41.18%)2 (20.0%)5 (71.43%)0.105
 No10 (58.82%)8 (80.0%)2 (28.57%)

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