Research Article

Radioiodine Thyroid Remnant Ablation after Recombinant Human Thyrotropin or Thyroid Hormone Withdrawal in Patients with High-Risk Differentiated Thyroid Cancer

Table 1

(a) Selected patient characteristics by treatment group. (b) Basis for AJCC/UICC staging in the study cohort.
(a)

VariablerhTSH group (n = 18)THW group (n = 27)P

Age at DTC diagnosis
 Mean ± SD years41 ± 1651 ± 140.03
 ≥45 years old, % (n) 78% (14) 37% (10)0.01

Female, % (n)83% (15)78% (21)0.30

Histological classification, % (n)
 Papillary, classical variant78% (14)82% (22)
 Papillary, follicular variant6% (1)11% (3)0.08
 Follicular16% (3)7% (2)

T classificationa, % (n)
 T372% (13)74% (20)
 T4a22% (4)19% (5)0.53
 T4b6% (1)7% (2)

N classificationa, % (n)
 N0/Nx67% (12)66% (16)
 N1a27% (5)22% (6)0.08
 N1b6% (1)18% (5)

Patients with vascular invasion, % (n)22% (4)26% (7)0.33

AJCC/UICC stageab, % (n)
 I22% (4)63% (17) 0.01
 II0% (0)0% (0)
 III50% (9)33% (9)
 IVa11% (2)4% (1)
 IVb17% (3)0% (0)
 IVc0% (0)0% (0)

Lymph node dissection, n (%)78% (14)81% (22)0.49

AJCC: American Joint Committee on Cancer; DTC: differentiated thyroid carcinoma; rhTSH: recombinant human thyroid-stimulating hormone; SD: standard deviation; UICC: Union Internationale Contre le Cancer; THW: thyroid hormone withdrawal or withholding.
aAccording to AJCC/UICC classification, 6th edition of 2002 [32]; all patients had M0 staging confirmed by the postablation whole-body scan.
bSee Table 1(b) for explanation of the basis of staging in this cohort.
(b)

TN status a, n AJCC/UICC stagearhTSH group (n = 18)THW group (n = 27)

Age < 45 years

T3N0I23
T3NxI02
T3N1aI22
T3N1bI04
T4aN0I04
T4bN1aI01
T4bN1bI01

Age ≥ 45 years

T3N0III74
T3NxIII02
T3N1aIII23
T4aN0IVa01
T4bN0IVb30
T4bN1aIVa10
T4bN1bIVa10

AJCC: American Joint Committee on Cancer; DTC: differentiated thyroid carcinoma; rhTSH: recombinant human thyroid-stimulating hormone; UICC: Union Internationale Contre le Cancer; THW: thyroid hormone withdrawal or withholding.
aAccording to AJCC/UICC classification, 6th edition of 2002 [32]; all patients had M0 staging confirmed by the postablation whole-body scan.