Endocrine oncology

The Association between Lymphocytic Thyroiditis and Papillary Thyroid Cancer Harboring Mutant BRAF : A Systematic Review and Meta-Analysis

ThyroidPublished Systematic review and meta-analysis of observational studies

Pooled result · Odds of PTC-BRAFResult — go to the resultOdds ratio 0.53 95% CI 0.48–0.58

Authors' conclusion

The odds of PTC-BRAF are significantly lower in the presence of LT than without. PTC with LT, irrespective of BRAF status, was significantly associated with better prognostic factors.

Study context

Population
Adult patients with papillary thyroid cancer (PTC); observational studies published 2010 to June 2023 (PubMed, Embase, Web of Science)
Participants
28,143 patients39 studies
Comparison
PTC with lymphocytic thyroiditis (LT) vs PTC without LT (BRAFV600E prevalence); BRAF-mutant vs wild-type PTC and PTC with vs without LT (adverse pathological features)
Outcome
Prevalence of PTC-BRAF with and without LT

Pooled result

Odds of PTC-BRAF

Odds ratio

0.53

95% CI 0.48–0.58

P < 0.00001

LTvs No LT
OR 0.53 (95% CI 0.48–0.58); P < 0.00001

As reported in the abstract

Further pooled results

OutcomeEstimateP value
Adverse pathological features, PTC-BRAF vs wild-type PTC, irrespective of LT statusPTC-BRAFvs Wild-type PTCOR, CNND 1.54 (95% CI 1.16–2.04)
Adverse pathological features, PTC-BRAF vs wild-type PTC, irrespective of LT statusPTC-BRAFvs Wild-type PTCOR, PTC > 1 cm 1.14 (95% CI 0.82–1.58)
Adverse pathological features, PTC-BRAF vs wild-type PTC, irrespective of LT statusPTC-BRAFvs Wild-type PTCOR, extra-thyroidal extension 1.66 (95% CI 1.40–1.97)
Adverse pathological features, PTC-BRAF vs wild-type PTC, irrespective of LT statusPTC-BRAFvs Wild-type PTCOR, AJCC Stage 3-4 1.53 (95% CI 1.35–1.75)
Adverse pathological features, PTC-BRAF vs wild-type PTC, irrespective of LT statusPTC-BRAFvs Wild-type PTCOR, multifocality 1.24 (95% CI 1.11–1.40)
Adverse pathological features, PTC with LT vs without LT, irrespective of BRAF statusLTvs No LTOR, CNND 0.64 (95% CI 0.51–0.81)
Adverse pathological features, PTC with LT vs without LT, irrespective of BRAF statusLTvs No LTOR, PTC > 1 cm 0.83 (95% CI 0.73–0.95)
Adverse pathological features, PTC with LT vs without LT, irrespective of BRAF statusLTvs No LTOR, ETE 0.71 (95% CI 0.58–0.86)
Adverse pathological features, PTC with LT vs without LT, irrespective of BRAF statusLTvs No LTOR, AJCC Stage 3-4 0.84 (95% CI 0.75–0.94)
PTC recurrencePTC-BRAFvs Wild-type PTCOR 1.12 (95% CI 0.66–1.90)P = 0.67
PTC recurrenceLTvs No LTOR 0.60 (95% CI 0.28–1.30)P = 0.20

PTC recurrence

Similar results with recurrence expressed as HR in this limited data-set

Original publication

The Association between Lymphocytic Thyroiditis and Papillary Thyroid Cancer Harboring Mutant BRAF : A Systematic Review and Meta-Analysis. Thyroid. Published 18 July 2024. doi:10.1089/thy.2024.0142

Composed by AI from the published abstract and checked against it. How Briefs are made →

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