Review Article

Clinical and Pathological Implications of Concurrent Autoimmune Thyroid Disorders and Papillary Thyroid Cancer

Table 1

Last twenty years of published results. Autoimmune manifestation was significantly correlated with the presence of follow-up features, disease presentation features, and individual features.

ReferenceAutoimmune manifestation Type of thyroid cancer Number of patientsFollow-up featuresDisease presentation featuresIndividual featuresGeographic widespreadConcurrent CLT in thyroid cancer (%)

[33]Lymphocytic infiltrationPTC95Relapse-free Circulating autoantibodies, coexisting thyroid diseaseNoneJapan37.89
[34]Chronic lymphocytic thyroiditisPTC1533Relapse-free, overall survivalNoneNoneJapan18.09
[35]Chronic lymphocytic thyroiditisPTC69NoneMultifocalityNoneJapan21.74
[36]Lymphocytic infiltrationPTC+FTC+
MTC+ATC
153NoneLow pT stageNoneGermany17.65
[37]Both Hashimoto's thyroiditis and lymphocytic infiltrationPTC+FTC631Low cancer recurrence rate, low cancer mortality rateLow extrathyroidal invasion, nodal metastases, distant metastases, pTNM stageFemaleUSA20.28
[28]Hashimoto's thyroiditis and lymphocytic infiltration separatelyPTC136Overall survivalMultifocality, Tumor Infiltrating lymphocytesYoung, femaleUSA30.15
[38]Circulating autoantibodies and history of autoimmune thyroid diseasePTC+FTC173Relapse-free, overall survivalNoneNoneBrazil8.67% (+TPOAb) + 6.94% (+TgAb) + 13.87% (with Graves or Hashimoto history)
[39]Hashimoto's thyroiditisPTC101NoneNoneOldKorea36.6
[40]Chronic lymphocytic thyroiditisPTC1441Relapse-freeSmall tumors, low pTNM stageFemaleKorea14.85
[41]Lymphocytic infiltration and/or circulating autoantibodiesPTC343NoneNoneNoneItaly37.31
[42]Chronic lymphocytic thyroiditisPTMC323NoneTgAb positive, Microsomal Ab positive, multifocality, and bilateralityFemaleKorea 32.51

PTC: papillary thyroid carcinoma; FTC: follicular thyroid carcinoma; PTMC: papillary thyroid microcarcinoma; MTC: medullary thyroid carcinoma; ATC: anaplastic thyroid carcinoma; Ab: antibody.