A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis

BackgroundDespite having negative lymph node (N0) status, thyroid cancer (TC) patients can still experience distant metastasis (DM), which significantly impacts their survival. This study aimed to investigate the prognostic factors for DM in TC patients (N0) and develop a predictive nomogram model f...

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Main Authors: Xiaoqing Yu, Qin Deng, Xin Gao, Lingyun He, Daixing Hu, Lu Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1523785/full
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author Xiaoqing Yu
Qin Deng
Xin Gao
Lingyun He
Daixing Hu
Lu Yang
author_facet Xiaoqing Yu
Qin Deng
Xin Gao
Lingyun He
Daixing Hu
Lu Yang
author_sort Xiaoqing Yu
collection DOAJ
description BackgroundDespite having negative lymph node (N0) status, thyroid cancer (TC) patients can still experience distant metastasis (DM), which significantly impacts their survival. This study aimed to investigate the prognostic factors for DM in TC patients (N0) and develop a predictive nomogram model for analyzing the prognosis of TC N0 patients with DM.MethodsData collected from the Surveillance, Epidemiology, and End Results (SEER) database for 18,504 TC patients (N0) between 2004 and 2015 were analyzed. Univariate and multivariate analyses were used to identify independent prognostic factors for DM in TC N0. These independent factors were used to build a nomogram model to predict overall survival (OS) at 1, 3, and 5 years for TC patients (N0) with DM.Results and conclusionThis study examined the clinicopathological features associated with the risk and prognosis of DM in TC patients (N0), and successfully established and validated a nomogram capable of predicting OS in individual patients with DM. The nomogram is highly useful for the timely identification of TC patients (N0) at high risk of DM by physicians, enabling individualized survival evaluations and treatment for TC patients with DM (N0).
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language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
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series Frontiers in Endocrinology
spelling doaj-art-d5d6493c3a49465d8c8b7abaec2df86a2025-08-20T03:01:01ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-02-011610.3389/fendo.2025.15237851523785A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasisXiaoqing Yu0Qin Deng1Xin Gao2Lingyun He3Daixing Hu4Lu Yang5Department of Breast and Thyroid Surgery, Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Breast and Thyroid Surgery, Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHepatopancreatobiliary Center, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, ChinaScientific Research and Education Section, Chongqing Health Center for Women and Children, Chongqing, ChinaDepartment of Breast and Thyroid Surgery, Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Breast and Thyroid Surgery, Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaBackgroundDespite having negative lymph node (N0) status, thyroid cancer (TC) patients can still experience distant metastasis (DM), which significantly impacts their survival. This study aimed to investigate the prognostic factors for DM in TC patients (N0) and develop a predictive nomogram model for analyzing the prognosis of TC N0 patients with DM.MethodsData collected from the Surveillance, Epidemiology, and End Results (SEER) database for 18,504 TC patients (N0) between 2004 and 2015 were analyzed. Univariate and multivariate analyses were used to identify independent prognostic factors for DM in TC N0. These independent factors were used to build a nomogram model to predict overall survival (OS) at 1, 3, and 5 years for TC patients (N0) with DM.Results and conclusionThis study examined the clinicopathological features associated with the risk and prognosis of DM in TC patients (N0), and successfully established and validated a nomogram capable of predicting OS in individual patients with DM. The nomogram is highly useful for the timely identification of TC patients (N0) at high risk of DM by physicians, enabling individualized survival evaluations and treatment for TC patients with DM (N0).https://www.frontiersin.org/articles/10.3389/fendo.2025.1523785/fullthyroid cancerdistant metastasisrisk factornomogramoverall survival
spellingShingle Xiaoqing Yu
Qin Deng
Xin Gao
Lingyun He
Daixing Hu
Lu Yang
A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
Frontiers in Endocrinology
thyroid cancer
distant metastasis
risk factor
nomogram
overall survival
title A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
title_full A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
title_fullStr A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
title_full_unstemmed A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
title_short A prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
title_sort prognostic nomogram for distant metastasis in thyroid cancer patients without lymph node metastasis
topic thyroid cancer
distant metastasis
risk factor
nomogram
overall survival
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1523785/full
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