Research Article

Influence of Obesity Parameters on Different Regional Patterns of Lymph Node Metastasis in Papillary Thyroid Cancer

Table 4

Relationship between BFP and different regional lymph node involvement in women.

Univariate analysis
Nonobesity (BFP)Obesity (BFP) value

Rate of LNM
 Rate of total LNM283 (58.8%)145 (55.3%)0.357
 Rate of CLNM276 (57.4%)137 (52.3%)0.182
 Rate of total LLNM91 (18.9%)43 (16.4%)0.396
 Rate of level II metastasis42 (8.7%)19 (7.3%)0.483
 Rate of level III metastasis74 (15.4%)28 (10.7%)0.075
 Rate of level IV metastasis74 (15.4%)38 (14.5%)0.749
 Rate of level V metastasis16 (3.3%)11 (4.2%)0.544

Number of LNM
 Number of CLNM1.7 (2.3)1.9 (2.4)0.511
 Number of LLNM5.0 (3.6)5.5 (4.8)0.527

LNR
 Central LNR0.23 (0.29)0.28 (0.32)0.051
 Lateral LNR0.05 (0.39)0.03 (0.09)0.434

Pattern of LNM
 Skip metastasis7 (1.5%)8 (3.1%)0.139
 MLLNM75 (15.6%)38 (14.5%)0.693
 Simultaneous metastasis in LC71 (14.8%)33 (12.6%)0.416

The categorical variables were expressed as n (%). The continuous variables were expressed as the mean (standard deviations). Multivariate analysis was expressed as adjusted odds ratio (95% CI). BFP, body fat percentage; LNM, lymph node metastasis; LLNM, lateral lymph node metastasis; CLNM, central lymph node metastasis; MLLNM, multiple lateral lymph node metastasis; LNR, lymph node ratio; and LC, lateral compartment. Age (per 10 years), glucose, thyroid stimulating hormone, cholesterol, triglyceride, tumor size, multifocality, extrathyroidal extension, and chronic lymphocytic thyroiditis as covariates to adjust OR value.