Comparison of pediatric and adult medullary thyroid carcinoma based on SEER program

To compare the clinicopathological characteristics and survival outcomes of children and adult diagnosed with medullary thyroid carcinoma (MTC). MTC patients were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 1998 to 2016, followed by stratification into pediatri...

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Veröffentlicht in:Scientific reports 2020-08, Vol.10 (1), p.13310-13310, Article 13310
Hauptverfasser: Zhao, Zhuang, Yin, Xiang-dang, Zhang, Xu-he, Li, Zhi-wen, Wang, Dun-wei
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container_title Scientific reports
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creator Zhao, Zhuang
Yin, Xiang-dang
Zhang, Xu-he
Li, Zhi-wen
Wang, Dun-wei
description To compare the clinicopathological characteristics and survival outcomes of children and adult diagnosed with medullary thyroid carcinoma (MTC). MTC patients were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 1998 to 2016, followed by stratification into pediatric (
doi_str_mv 10.1038/s41598-020-70439-7
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MTC patients were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 1998 to 2016, followed by stratification into pediatric (&lt; 20 years) or adult (≥ 20 years) groups. In total, 2,197 patients (110 pediatric and 2087 adult) with MTC were identified. Pediatric patients were more likely to have localized stage (70.0% vs. 51.6%), negative regional nodes (48.2% vs. 30.8%) and receive total/subtotal thyroidectomy surgery (97.3% vs. 85.3%). Moreover, CSS and OS rates were significantly higher in pediatric patients (both P  &lt; 0.001). Multivariable Cox regression analysis revealed that adult patients were significantly correlated with worse CSS and OS rates [(CSS: HR 11.60, 95% CI 1.62–83.02, P  = 0.015); (OS: HR 5.63, 95% CI 2.08–15.25, P  = 0.001)]. Further stratified analysis indicated that pediatric group might have significant better CSS and OS for patients with more advanced stage. 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Moreover, the prognosis of pediatric MTC patients was significantly better than that in adult patients.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-70439-7</identifier><identifier>PMID: 32764626</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/67 ; 692/4028 ; 692/499 ; Adolescent ; Adult ; Carcinoma, Neuroendocrine - diagnosis ; Carcinoma, Neuroendocrine - epidemiology ; Carcinoma, Neuroendocrine - pathology ; Carcinoma, Neuroendocrine - therapy ; Child ; Child, Preschool ; Epidemiology ; Female ; Humanities and Social Sciences ; Humans ; Male ; Medical prognosis ; multidisciplinary ; Multivariate Analysis ; Patients ; Pediatrics ; Regression analysis ; Science ; Science (multidisciplinary) ; SEER Program ; Surgery ; Survival Analysis ; Thyroid ; Thyroid cancer ; Thyroid carcinoma ; Thyroid Neoplasms - diagnosis ; Thyroid Neoplasms - epidemiology ; Thyroid Neoplasms - pathology ; Thyroid Neoplasms - therapy ; Thyroidectomy ; Young Adult</subject><ispartof>Scientific reports, 2020-08, Vol.10 (1), p.13310-13310, Article 13310</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. 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MTC patients were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 1998 to 2016, followed by stratification into pediatric (&lt; 20 years) or adult (≥ 20 years) groups. In total, 2,197 patients (110 pediatric and 2087 adult) with MTC were identified. Pediatric patients were more likely to have localized stage (70.0% vs. 51.6%), negative regional nodes (48.2% vs. 30.8%) and receive total/subtotal thyroidectomy surgery (97.3% vs. 85.3%). Moreover, CSS and OS rates were significantly higher in pediatric patients (both P  &lt; 0.001). Multivariable Cox regression analysis revealed that adult patients were significantly correlated with worse CSS and OS rates [(CSS: HR 11.60, 95% CI 1.62–83.02, P  = 0.015); (OS: HR 5.63, 95% CI 2.08–15.25, P  = 0.001)]. Further stratified analysis indicated that pediatric group might have significant better CSS and OS for patients with more advanced stage. Patients in the pediatric group were more likely to have earlier stage. Moreover, the prognosis of pediatric MTC patients was significantly better than that in adult patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32764626</pmid><doi>10.1038/s41598-020-70439-7</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/67
692/4028
692/499
Adolescent
Adult
Carcinoma, Neuroendocrine - diagnosis
Carcinoma, Neuroendocrine - epidemiology
Carcinoma, Neuroendocrine - pathology
Carcinoma, Neuroendocrine - therapy
Child
Child, Preschool
Epidemiology
Female
Humanities and Social Sciences
Humans
Male
Medical prognosis
multidisciplinary
Multivariate Analysis
Patients
Pediatrics
Regression analysis
Science
Science (multidisciplinary)
SEER Program
Surgery
Survival Analysis
Thyroid
Thyroid cancer
Thyroid carcinoma
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - epidemiology
Thyroid Neoplasms - pathology
Thyroid Neoplasms - therapy
Thyroidectomy
Young Adult
title Comparison of pediatric and adult medullary thyroid carcinoma based on SEER program
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