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 6

Clinicopathologic factors associated with the TgAb trend.

No. of patientsDecrease ≥50%Decrease <50% or increasep

Age at diagnosis of DTC
 ≤1513 (27.08%)7 (24.14%)6 (31.58%)0.571
 >1535 (73.93%)22 (75.86%)13 (68.42%)
Sex
 Female44 (91.67%)26 (89.66%)18 (94.74%)1.000
 Male4 (8.3%)3 (10.34%)1 (5.26%)
Tumor diameter (cm)
 ≤224 (50.0%)17 (58.62%)7 (36.84%)0.227
 >2, ≤416 (33.33%)9 (31.03%)7 (36.84%)
 >48 (16.67%)3 (10.34%)5 (26.32%)
Multiplicity
 Single26 (54.17%)17 (58.62%)9 (47.37%)0.444
 Multiple22 (45.83%)12 (41.38%)10 (52.63%)
Extra-thyroidal extension
 No31(64.58%)24 (82.76%)7 (36.84%)<0.001
 Minimal/gross17(35.42%)5 (17.24%)12 (63.16%)
N stage
 N0 or Nx4 (8.33%)2 (6.90%)2 (10.53%)0.062
 N1a11 (22.92%)10 (34.48%)1 (5.26%)
 N1b33 (68.75%)17 (56.62%)16 (84.21%)
Distant metastases
 No45 (93.75%)29 (100.0%)16 (84.21%)0.056
 Yes3 (6.25%)0 (0%)2 (15.79%)
Initial risk stratification
 Low7 (14.58%)5 (17.24%)2 (10.53%)<0.001
 Intermediate19 (39.58%)17 (58.62%)2 (10.53%)
 High22 (45.83%)7 (24.14%)15 (78.95%)
With LT
 No25 (52.08%)14 (48.28%)11 (57.89%)0.514
 Yes23 (47.92%)15 (51.72%)8 (42.11%)
Number of courses for 131I therapy
 140 (83.33%)25 (86.21%)15 (78.95%)0.695
 >18 (16.67%)4 (13.79%)4 (21.05%)
Cumulative dose of 131I activities (mCi)
 ≤10037 (77.08%)24 (82.76%)13 (68.42%)0.304
 >10011 (22.92%)5 (17.24%)6 (31.58%)
Suppressed Tg at first follow-up after RAI therapy
 Tg negative31 (64.58%)18 (62.07%)13 (68.42%)0.653
 Tg positive17 (35.42%)11 (37.93%)6 (31.58%)
sTg (ng/ml)
 <132 (66.67%)20 (68.97%)12 (63.16%)0.676
 ≥116 (33.33%)9 (31.03%)7 (36.84%)
sTgAb (IU/ml)
 <50027 (56.25%)20 (68.97%)7 (36.84%)0.028
 ≥50021 (43.75%)9 (31.03%)12 (63.16%)

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