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 5

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

No. of patientsAcceptableUnacceptable

Age at diagnosis of DTC
 ≤159 (29.03%)4 (22.22%)5 (38.46%)0.433
 >1522 (70.97%)14 (77.78%)8 61.54%)
Sex
 Female27 (100.0%)15 (83.33%)12 (92.31%)0.847
 Male4 (100.0%)3 (16.67%)1 (7.69%)
Number of thyroid surgeries
 127 (87.10%)15 (83.33%)12 (92.30%)0.621
 >14 (12.90%)3 (16.67%)1 (7.69%)
Tumor diameter (cm)
 ≤217 (54.84%)10 (55.56%)7 (53.85%)0.983
 >2, ≤49 (29.03%)5 (27.78%)4 (30.77%)
 >45 (16.13%)3 (16.67%)2 (15.38%)
Multiplicity
 Single17 (54.84%)10 (55.56%)3 (53.85%)0.925
 Multiple14 (45.16%)8 (44.44%)4 (46.15%)
Extra-thyroidal extension
 No22 (71.97%)16 (88.89%)6 (46.15%)0.029
 Minimal/gross9 (29.03%)2 (11.11%)7 (53.85%)
N stage
 N0 or Nx3 (9.68%)2 (11.11%)1 (7.69%)0.171
 N1a7 (22.58%)4 (22.22%)3 (23.08%)
 N1b21 (67.74%)12 (66.67%)9 (69.23%)
Initial risk stratification
 Low/intermediate19 (63.29%)15 (83.33%)4 (30.78%)0.003
 High12 (38.71%)3 (16.67%)9 (69.23%)
With LT
 No17 (54.84%)8 (44.44%)9 (69.23%)0.171
 Yes14 (45.16%)10 (55.56%)4 (30.78%)
Number of courses for 131I therapy
 127 (87.09%)16 (88.89%)11 (84.62%)1.000
 >14 (12.90%)2 (11.11%)2 (15.38%)
Cumulative dose of 131I activities (mCi)
 ≤10025 (80.65%)16 (88.89%)9 (69.23%)0.365
 >1006 (19.35%)2 (11.11%)4 (30.78%)
sTg (ng/ml)
 <125 (80.65%)15 (83.33%)10 (76.92%)1.000
 ≥16 (19.35%)3 (16.67%)3 (23.08%)
sTgAb (IU/ml)
 <50016 (51.61%)11 (61.11%)5 (38.46%)0.288
 ≥50015 (48.39%)7 (38.89%)8 (61.54%)
TgAb trend
 Decrease ≥50%18 (64.71%)16 (88.89%)2 (15.38%)<0.001
 Decrease <50% or increase13 (35.29%)2 (11.11%)11 (84.62%)
TgAb tends to be negative
 Yes17 (54.84%)5 (27.78%)5 (92.31%)<0.001
 No14 (45.16%)13 (72.22%)2 (7.69%)

sTg, stimulated Tg; sTgAb, stimulated TgAb; N, lymph node; LT, lymphocytic thyroiditis. p < 0.05.