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Treatment and outcome of patients with Graves’ disease and metastatic differentiated thyroid cancer Cover

Treatment and outcome of patients with Graves’ disease and metastatic differentiated thyroid cancer

Open Access
|Sep 2023

Figures & Tables

FIGURE 1.

A 75-year-old patient was operated on after preparation with thiamazole for a pathological fracture of Th2. Spinal stabilization was performed.
A 75-year-old patient was operated on after preparation with thiamazole for a pathological fracture of Th2. Spinal stabilization was performed.

FIGURE 2.

Disease-specific survival of patients with Graves’ disease (GD) and without GD.
Disease-specific survival of patients with Graves’ disease (GD) and without GD.

FIGURE 3.

Overall survival of patients with Graves’ disease (GD) and without GD.
Overall survival of patients with Graves’ disease (GD) and without GD.

Treatment of patients and their outcome

FactorSubgroupAll patients (N = 28)Without Graves’ disease (N = 24)With Graves’ disease (N = 4)p-value
Thyroid surgeryNo8711.00
Yes20173
Thyroid surgical procedureTotal or near-total thyroidectomy Lobectomy or less181531.00
1091
Residual tumor after surgeryNo surgery8710.916
R0 (without residual tumor)1192
R1220
R2761
Neck dissectionNo242130.481
Yes431
Surgery of distant metastasesNo262420.016
Yes202
RAI ablation after surgeryNo10911.00
Yes18153
Therapy with RAINo10911.00
Yes18153
EBRT to the neckNo211740.545
Yes770
EBRT (any site)No151321.00
Yes13112
Preoperative chemotherapyNo252320.045
Yes312
ChemotherapyNo222020.191
Yes642
Targeted therapyNo181620.601
Yes1082
OutcomeAlive with disease9720.461
Dead of disease15141
Dead of other causes431

Clinical characteristics and pathological characteristics of tumors

FactorSubgroupAll patients (N = 28)Without Graves’ disease (N = 24)With Graves’ disease (N = 4)p-value
Mean age of patients (year) 73.8674.2571.500.359
Mean primary tumor size (cm) 5.6045.4836.3250.355
GenderFemale201910.058
Male853
Age (years)54 or less1101.00
55 or more27234
Hyperthyreosis at presentationNo232300.001
Yes514
Functional metastasesNo262420.016
Yes202
Tumor diameter (cm)0–49811.00
4.01 and more19163
pT tumor stagepTx, pT1 or pT27610.522
pT3752
pT414131
N stageN0201731.00
N1 or N2871
M stageM0000-
M128244
Type of metastasesLung only111010.759
Bones and others1293
Lungs and others without bones550
Single organ metastasesNo141130.596
Yes14131
Tumor typePapillary141210.279
Hürthle642
Follicular550
Poorly differentiated331
Tumor differentiation (N = 19)Well6511.00
Moderate or poor13121
DOI: https://doi.org/10.2478/raon-2023-0034 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 380 - 388
Submitted on: Mar 21, 2023
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Accepted on: Jun 19, 2023
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Published on: Sep 4, 2023
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Nikola Besic, Barbara Vidergar-Kralj, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.