Research Article

Whether Detection of Gene Mutations Could Identify Low- or High-Risk Papillary Thyroid Microcarcinoma? Data from 393 Cases Using the Next-Generation Sequencing

Table 5

Patient characteristics of 320 PTMC divided into low- and high-risk groups.

TotalLow-riskHigh-risk
n = 320n = 102n = 218

Gender
 M86 (26.9%)24 (23.5%)62 (28.4%)0.417
 F234 (73.1%)78 (76.5%)156 (71.6%)
Age at diagnosis (years)43.4 ± 11.944.2 ± 11.743 ± 11.70.389
Maximum tumor size (mm)
 Mean ± SD6.4 ± 2.35.6 ± 2.26.8 ± 2.3<0.001
 ≤5118 (35%)53 (52.0%)65 (29.8%)<0.001
 >5202 (65%)49 (48.0%)153 (70.2%)
Chronic lymphocytic thyroiditis
 Yes56 (17.5%)17 (16.7%)39 (17.9%)0.875
 No264 (82.5%)85 (83.3%)179 (82.1%)
Staging (VIII ed. TNM)
 I295 (92.2%)102 (100%)193 (88.5%)<0.001
 II25 (7.8%)025 (11.5%)
Tumor recurrence
 Yes7 (2.2%)1 (1.0%)6 (2.8%)0.437
 No311 (97.2%)101 (99.0%)210 (96.3%)0.281
 n.a.2 (0.6%)02 (0.9%)1.000
BRAF
 Wt.55 (17.2%)15 (14.7%)40 (18.3%)0.525
 V600E265 (82.8%)87 (85.3%)178 (81.7%)
KRAS
 wt.318 (99.4%)101 (99.0%)217 (99.5%)0.537
 Q61K2 (0.6%)1 (1.0%)1 (0.5%)
NRAS
 wt.319 (99.7%)101 (99.0%)218 (100%)0.319
 Q61R1 (0.3%)1 (1.0%)0
RET/PTC
 wt.312 (97.5%)100 (98%)212 (97.2%)1.000
 RET/PTC15 (1.6%)2 (2%)3 (1.4%)0.655
 RET/PTC33 (0.9%)03 (1.4%)0.554
BRAF + NRAS
 Yes1 (0.3%)1 (1.0%)00.319
 No319 (99.7%)101 (99.0%)218 (100%)
BRAF + RET/PTC
 Yes3 (0.9%)1 (1.0%)2 (0.9%)1.000
 No317 (99.1%)101 (99%)216 (99.1%)

wt: wild type, na: not available, and PTMC: papillary thyroid microcarcinoma. The high-risk PTMC was defined as having one or more advanced characteristics including multifocality, extrathyroidal extension (ETE), intrathyroid spread, and LN metastasis, whereas the low-risk PTMC has none of these features. Data are expressed as mean ± SD or absolute number (%). Comparison between low-risk and high-risk groups was performed by ANOVA or chi-square test when appropriate. Significant differences are shown in bold characters .