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Open AccessArticle
Interstitial Fibrosis as a Common Counterpart of Histopathological Risk Factors in Papillary Thyroid Microcarcinoma: A Retrospective Analysis
by
Can Sahin
Can Sahin 1,*
,
Mehmet Arda Inan
Mehmet Arda Inan 2
,
Banu Bilezikci
Banu Bilezikci 3,
Hasan Bostanci
Hasan Bostanci 4,
Ferit Taneri
Ferit Taneri 4 and
Ramazan Kozan
Ramazan Kozan 4
1
Department of General Surgery, Yenimahalle Training and Research Hospital, Ankara 06370, Türkiye
2
Department of Pathology, Gazi University Faculty of Medicine, Ankara 06500, Türkiye
3
Department of Pathology, Guven Hospital, Ankara 06540, Türkiye
4
Department of General Surgery, Gazi University Faculty of Medicine, Ankara 06500, Türkiye
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(15), 1624; https://doi.org/10.3390/diagnostics14151624 (registering DOI)
Submission received: 13 June 2024
/
Revised: 18 July 2024
/
Accepted: 25 July 2024
/
Published: 27 July 2024
Abstract
Purpose. Interstitial fibrosis in papillary thyroid microcarcinoma is a subject which is under-investigated. The aim of this study is to determine the relationship between interstitial fibrosis, the subtypes of papillary microcarcinoma, and the established prognostic factors. Material and Methods. A total of 75 patients diagnosed with papillary microcarcinoma of the thyroid from January 2011 to December 2020 have been evaluated retrospectively, using demographic features, tumor size, subtype of the tumor, surgical margin status, unifocality, lymphovascular invasion, extracapsular spread and lymph node metastasis as parameters. Hematoxylin and eosin slides were reviewed for interstitial fibrosis. Results. The study includes 13 males and 62 females, in a total of 75 patients. There were 51 patients (68%) with interstitial fibrosis and 24 (32%) patients without interstitial fibrosis. Among them, 45 (60%) were classic, 27 (36%) were follicular variant and 3 (4%) were other subtypes. Interstitial fibrosis is significantly associated with bilaterality (p = 0.023), multifocality (p = 0.004), capsule invasion (p < 0.001) and lymph node metastasis (p = 0.043). Evaluation of tumor sub groups showed significant increased risk of lymphovascular invasion in the follicular variant (p = 0.019). Conclusion. Although the relationship of interstitial fibrosis and prognosis of other cancer types has been discussed, there are few studies in the literature regarding its effect on the prognosis of papillary microcarcinoma. Our results show that interstitial fibrosis can be used as a risk factor. However, new studies are needed to clearly reveal the physiopathology of interstitial fibrosis and its effect on tumorigenesis.
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MDPI and ACS Style
Sahin, C.; Inan, M.A.; Bilezikci, B.; Bostanci, H.; Taneri, F.; Kozan, R.
Interstitial Fibrosis as a Common Counterpart of Histopathological Risk Factors in Papillary Thyroid Microcarcinoma: A Retrospective Analysis. Diagnostics 2024, 14, 1624.
https://doi.org/10.3390/diagnostics14151624
AMA Style
Sahin C, Inan MA, Bilezikci B, Bostanci H, Taneri F, Kozan R.
Interstitial Fibrosis as a Common Counterpart of Histopathological Risk Factors in Papillary Thyroid Microcarcinoma: A Retrospective Analysis. Diagnostics. 2024; 14(15):1624.
https://doi.org/10.3390/diagnostics14151624
Chicago/Turabian Style
Sahin, Can, Mehmet Arda Inan, Banu Bilezikci, Hasan Bostanci, Ferit Taneri, and Ramazan Kozan.
2024. "Interstitial Fibrosis as a Common Counterpart of Histopathological Risk Factors in Papillary Thyroid Microcarcinoma: A Retrospective Analysis" Diagnostics 14, no. 15: 1624.
https://doi.org/10.3390/diagnostics14151624
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