|Table of Contents|

Relationship between body mass index and the clinicopathologic features of papillary thyroid carcinoma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2021 01
Page:
45-49
Research Field:
Publishing date:

Info

Title:
Relationship between body mass index and the clinicopathologic features of papillary thyroid carcinoma
Author(s):
CHEN XingzhouLIN JingYAN ChangjiaoLING RuiGUO Sijin
Department of Thyroid,Breast and Vascular Surgery,Xijing Hospital,Air Force Medical University,Shaanxi Xi'an 710032,China.
Keywords:
papillary thyroid carcinomabody mass indexobesityclinicopathologic features
PACS:
R736.1
DOI:
10.3969/j.issn.1672-4992.2021.01.009
Abstract:
Objective:To analyze the relationship between body mass index(BMI) and clinicopathologic features of papillary thyroid carcinoma(PTC).Methods:The medical records of 829 thyroid carcinoma patients were reviewed in this retrospective study.All patients were diagnosed at Xijing Hospital between January 2017 and June 2018.The World Health Organization BMI classification was used to classify patients as underweight(BMI<18.5 kg/m2),normal(18.5≤BMI<25 kg/m2),overweight(25≤BMI<30 kg/m2) or obese(BMI≥30 kg/m2).The correlation was analyzed by univariate analysis and multinomial logistic regression.Results:There were significant differences between BMI and several epidemiological features,including age,gender,and history of hypertension of PTCs(P<0.001).Univariate analysis showed that BMI was significantly associated with tumor multifocality,BRAF V600E mutation,and TNM stage(P<0.05).However,no association was found between BMI and tumor size,tumor site,extrathyroidal invasion,or lymph node metastasis(P>0.05).Most of tumor was single lesion in the normal BMI group(60.3%),and the incidence of multiple lesions was significantly increased in the non-normal group(P=0.040).With the increase of BMI,the rate of BRAF V600E mutation was significantly increased(P=0.001).The association between BMI and TNM stage was insignificant after multivariate adjustment.Conclusion:Except for multifocality,no correlation was found between aggressive clinicopathological features and BMI in PTC patients.

References:

[1]SIEGEL RL,MILLER KD,JEMAL A.Cancer Statistics,2017[J].CA Cancer J Clin,2017,67(1):7-30.
[2]LA VECCHIA C,MALVEZZI M,BOSETTI C,et al.Thyroid cancer mortality and incidence:A global overview[J].Int J Cancer,2015,136(9):2187-2195.
[3]PARK YM,LEE DY,OH KH,et al.Clinical implications of pathologic factors after thyroid lobectomy in patients with papillary thyroid carcinoma[J].Oral Oncol,2017,75:1-5.
[4]ZABULIENE L,JASILIONIS D,MISEIKYTE-KAUBRIENE E,et al.Parity and risk of thyroid cancer:A population-based study in lithuania[J].Horm Cancer,2017,8(5-6):325-329.
[5]UDDIN S,BAVI P,SIRAJ AK,et al.Leptin-R and its association with PI3K/AKT signaling pathway in papillary thyroid carcinoma[J].Endocr Relat Cancer,2010,17(1):191-202.
[6]BHASKARAN K,DOUGLAS I,FORBES H,et al.Body-mass index and risk of 22 specific cancers:A population-based cohort study of 5.24 million UK adults[J].Lancet,2014,384(9945):755-765.
[7]EWERTZ M,JENSEN MB,GUNNARSDOTTIR KA,et al.Effect of obesity on prognosis after early-stage breast cancer[J].J Clin Oncol,2011,29(1):25-31.
[8]IYENGAR NM,GUCALP A,DANNENBERG AJ,et al.Obesity and cancer mechanisms:tumor microenvironment and inflammation[J].J Clin Oncol,2016,34(35):4270-4276.
[9]FENG JW,YANG XH,WU BQ,et al.Influence of body mass index on the clinicopathologic features of papillary thyroid carcinoma[J].Ann Otology Rhinol Laryngol,2019,128(7):625-632.
[10]WU C,WANG L,CHEN W,et al.Associations between body mass index and lymph node metastases of patients with papillary thyroid cancer:A retrospective study[J].Medicine,2017,96(9):e6202.
[11]HANDELSMAN RS,ALVAREZ AL,PICADO O,et al.Inverse relationship of bmi to tsh and risk of papillary thyroid cancer in surgical patients[J].The Journal of Surgical Research,2019,244,96-101.
[12]SCHMID D,RICCI C,BEHRENS G,et al.Adiposity and risk of thyroid cancer:a systematic review and Meta-analysis[J].Obes Rev,2015,16(12):1042-1054.
[13]PAES JE,HUA K,NAGY R,et al.The relationship between body mass index and thyroid cancer pathology features and outcomes:a clinicopathological cohort study[J].J Clin Endocrinol Metab,2010,95(9):4244-4250.
[14]KIM JY,JUNG EJ,JEONG SH,et al.The indices of body size and aggressiveness of papillary thyroid carcinoma[J].J Korean Surg Soc,2011,80(4):241-244.
[15]KIM HJ,KIM NK,CHOI JH,et al.Associations between body mass index and clinico-pathological characteristics of papillary thyroid cancer[J].Clin Endocrinol(Oxf),2013,78(1):134-140.
[16]LEE J,LEE CR,KU CR,et al.Association between obesity and BRAF V600E mutation status in patients with papillary thyroid cancer[J].Ann Surg Oncol,2015,22(Suppl 3):S683-690.
[17]LEE HS,CHAI YJ,KIM SJ,et al.Influence of body habitus on the surgical outcomes of bilateral axillo-breast approach robotic thyroidectomy in papillary thyroid carcinoma patients[J].Ann Surg Treat Res,2016,91(1):1-7.
[18]SARI R,BALCI MK,ALTUNBAS H,et al.The effect of body weight and weight loss on thyroid volume and function in obese women[J].Clin Endocrinol(Oxf),2003,59(2):258-262.
[19]CHENG SP,CHI CW,TZEN CY,et al.Clinicopathologic significance of leptin and leptin receptor expressions in papillary thyroid carcinoma[J].Surgery,2010,147(6):847-853.

Memo

Memo:
陕西省社会发展科技攻关项目(编号:2016SF-298);西京医院助推项目(编号:XJZ15Z09);希思科临床肿瘤学研究基金(编号:Y-BMS2019-069)
Last Update: 2020-11-30