Research Article

Microscopic Positive Tumor Margin Increases Risk for Disease Persistence but Not Recurrence in Patients with Stage T1-T2 Differentiated Thyroid Cancer

Table 1

Clinical characteristics.

Clinical characteristicsAll patients n = 963Positive margins n = 112 (12%)Clear margins n = 851 (88%) value

Male152 (16%)16 (14%)136 (16%)NS
Female811 (84%)96 (86%)715 (84%)
Age at diagnosis (years, mean ± SD)46 ± 1347 ± 1446 ± 13NS
Initial thyroid surgical management
 Total thyroidectomy627 (65%)67 (60%)560 (66%)NS
 Two-part total thyroidectomy336 (35%)45 (40%)291 (34%)
Initial neck dissection surgical management
 Central neck dissection lateral86 (9%)7 (6%)79 (9%)NS
 Neck dissection mediastinal33 (4%)3 (3%)30 (4%)
 Dissection1 (0.1%)0 (0%)1 (0.1%)
 Unspecified neck dissection2 (0.2%)0 (0%)2 (0.2%)
Histology
 Papillary915 (96%)108 (96%)807 (95%)NS
 Follicular48 (4%)4 (4%)44 (5%)
Staging
 T1603 (63%)58 (52%)545 (64%)0.012
 T2360 (37%)54 (48%)306 (36%)
Nx/N0821 (85%)86 (77%)735 (86%)0.024
N1a/N1b [N1a, N1b]142 (15%) [116, 2326 (23%)116 (14%)

Data are presented as number (percentages), unless otherwise specified. Positive versus clear margins. Unspecified neck dissection: neck dissection was done but extent was not specified in the operative report.