Clinicopathological landscape and management trends of thyroid carcinoma over two decades: a single-institution study and risk stratification of central lymph node metastasis in T1 papillary thyroid carcinoma - Takeaways - MDSpire

Clinicopathological landscape and management trends of thyroid carcinoma over two decades: a single-institution study and risk stratification of central lymph node metastasis in T1 papillary thyroid carcinoma

  • By

  • Li’nan Qin

  • Xindi Ke

  • Yongdu Nie

  • Yiming Zhu

  • Shaoyan Liu

  • Jian Wang

  • April 30, 2026

  • 0 min

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  • 1

    The study analyzed 34,420 patients to describe the evolving clinicopathological landscape of thyroid carcinoma from 1999 to 2018.

  • 2

    The proportion of thyroid cancer diagnoses increased to 99.3% by 2018, with papillary thyroid carcinoma accounting for the majority.

  • 3

    Central lymph node dissection rates rose significantly from 34.4% to 97%, while the rate of central lymph node metastasis decreased from 81.8% to 55%.

  • 4

    Independent risk factors for central lymph node metastasis in T1-stage papillary thyroid carcinoma included younger age, male sex, and larger tumor diameter.

  • 5

    A nomogram was developed to predict central lymph node metastasis, showing good discrimination and potential for individualized patient management.

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