Thyroid cancer in West Java: It’s not all papillary and pretty

Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the charac...

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Vydané v:	Cancer epidemiology Ročník 97; s. 102869
Hlavní autori:	Rizki, Kiki Akhmad, Kurniasari, Rantapina, Priosadewo, Monty, Abdurrahman, Maman, Azhar, Raden Yohana, Gaol, Dodi Lumban, Sitanggang, Rupita Sari Endangena, Erdiansyah, Zuldi, Nugraha, Prapanca, Muhammad, Arrayyan, Primastari, Etis
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Netherlands Elsevier Ltd 01.08.2025 Elsevier Limited
Predmet:	Adolescent Adult Age groups Aged Asymptomatic Chi-square test Disease Female Females Histopathology Hospitals Humans Hypotheses Incidence Indonesia - epidemiology Iodine Lymph nodes Lymphatic Metastasis Lymphatic system Male Malignancy Medical records Metastases Metastasis Middle Aged Observational study Papillary thyroid carcinoma Patients Population studies Retrospective Studies Surgery Thyroid cancer Thyroid Cancer, Papillary - epidemiology Thyroid Cancer, Papillary - pathology Thyroid Neoplasms - epidemiology Thyroid Neoplasms - pathology Thyroid tumor Tumors Ultrasonic imaging Young Adult Indonesia West Java Indonesia Observational study Histopathology Metastasis Thyroid tumor
ISSN:	1877-7821, 1877-783X, 1877-783X
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Abstract	Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the characteristics of thyroid cancer at the largest hospital in West Java and to examine the relationships between these characteristics. This was an observational study. The subjects were patients with thyroid tumors in the oncology surgery division of a tertiary hospital in West Java, Indonesia, from January 2017 to December 2022. A total of 3414 subjects were included in the study. The characteristics of the thyroid tumors were extracted from medical records. The results showed that the mean age of the participants was 47 years, thyroid tumors were more common in women (82.9 %), and tumor location was frequently found on the right side (38.6 %) and over 90 % of cases showed no lymph node metastasis. Univariate analysis confirmed significant associations between histology and patient sex, tumor location, size, and nodal status (all p < 0.05), with very few subcentimeter tumors and higher metastatic rates in papillary (30.3 %) and medullary (37.5 %) carcinomas. Thyroid cancer, particularly papillary thyroid carcinoma, was prevalent in the study population, with significant associations between histopathology, sex, tumor size, and lymph node metastasis. These findings highlight the important of using risk-based FNA and selective surgical referral to exclude low-risk microcarcinomas. Adherence to these strategies will mitigate overdiagnosis and unnecessary surgery. •Large-scale study of 3414 thyroid cases in West Java, Indonesia.•Detailed analysis of demographic and clinical patterns in thyroid disorders.•Significant links observed between tumor subtype and sex, size, and metastasis.•Novel insights to refine early detection and management of thyroid cancers.
AbstractList	Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the characteristics of thyroid cancer at the largest hospital in West Java and to examine the relationships between these characteristics.BACKGROUNDThyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the characteristics of thyroid cancer at the largest hospital in West Java and to examine the relationships between these characteristics.This was an observational study. The subjects were patients with thyroid tumors in the oncology surgery division of a tertiary hospital in West Java, Indonesia, from January 2017 to December 2022. A total of 3414 subjects were included in the study. The characteristics of the thyroid tumors were extracted from medical records.METHODSThis was an observational study. The subjects were patients with thyroid tumors in the oncology surgery division of a tertiary hospital in West Java, Indonesia, from January 2017 to December 2022. A total of 3414 subjects were included in the study. The characteristics of the thyroid tumors were extracted from medical records.The results showed that the mean age of the participants was 47 years, thyroid tumors were more common in women (82.9 %), and tumor location was frequently found on the right side (38.6 %) and over 90 % of cases showed no lymph node metastasis. Univariate analysis confirmed significant associations between histology and patient sex, tumor location, size, and nodal status (all p < 0.05), with very few subcentimeter tumors and higher metastatic rates in papillary (30.3 %) and medullary (37.5 %) carcinomas.RESULTSThe results showed that the mean age of the participants was 47 years, thyroid tumors were more common in women (82.9 %), and tumor location was frequently found on the right side (38.6 %) and over 90 % of cases showed no lymph node metastasis. Univariate analysis confirmed significant associations between histology and patient sex, tumor location, size, and nodal status (all p < 0.05), with very few subcentimeter tumors and higher metastatic rates in papillary (30.3 %) and medullary (37.5 %) carcinomas.Thyroid cancer, particularly papillary thyroid carcinoma, was prevalent in the study population, with significant associations between histopathology, sex, tumor size, and lymph node metastasis. These findings highlight the important of using risk-based FNA and selective surgical referral to exclude low-risk microcarcinomas. Adherence to these strategies will mitigate overdiagnosis and unnecessary surgery.CONCLUSIONThyroid cancer, particularly papillary thyroid carcinoma, was prevalent in the study population, with significant associations between histopathology, sex, tumor size, and lymph node metastasis. These findings highlight the important of using risk-based FNA and selective surgical referral to exclude low-risk microcarcinomas. Adherence to these strategies will mitigate overdiagnosis and unnecessary surgery. Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the characteristics of thyroid cancer at the largest hospital in West Java and to examine the relationships between these characteristics. This was an observational study. The subjects were patients with thyroid tumors in the oncology surgery division of a tertiary hospital in West Java, Indonesia, from January 2017 to December 2022. A total of 3414 subjects were included in the study. The characteristics of the thyroid tumors were extracted from medical records. The results showed that the mean age of the participants was 47 years, thyroid tumors were more common in women (82.9 %), and tumor location was frequently found on the right side (38.6 %) and over 90 % of cases showed no lymph node metastasis. Univariate analysis confirmed significant associations between histology and patient sex, tumor location, size, and nodal status (all p < 0.05), with very few subcentimeter tumors and higher metastatic rates in papillary (30.3 %) and medullary (37.5 %) carcinomas. Thyroid cancer, particularly papillary thyroid carcinoma, was prevalent in the study population, with significant associations between histopathology, sex, tumor size, and lymph node metastasis. These findings highlight the important of using risk-based FNA and selective surgical referral to exclude low-risk microcarcinomas. Adherence to these strategies will mitigate overdiagnosis and unnecessary surgery. •Large-scale study of 3414 thyroid cases in West Java, Indonesia.•Detailed analysis of demographic and clinical patterns in thyroid disorders.•Significant links observed between tumor subtype and sex, size, and metastasis.•Novel insights to refine early detection and management of thyroid cancers. Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the characteristics of thyroid cancer at the largest hospital in West Java and to examine the relationships between these characteristics. This was an observational study. The subjects were patients with thyroid tumors in the oncology surgery division of a tertiary hospital in West Java, Indonesia, from January 2017 to December 2022. A total of 3414 subjects were included in the study. The characteristics of the thyroid tumors were extracted from medical records. The results showed that the mean age of the participants was 47 years, thyroid tumors were more common in women (82.9 %), and tumor location was frequently found on the right side (38.6 %) and over 90 % of cases showed no lymph node metastasis. Univariate analysis confirmed significant associations between histology and patient sex, tumor location, size, and nodal status (all p < 0.05), with very few subcentimeter tumors and higher metastatic rates in papillary (30.3 %) and medullary (37.5 %) carcinomas. Thyroid cancer, particularly papillary thyroid carcinoma, was prevalent in the study population, with significant associations between histopathology, sex, tumor size, and lymph node metastasis. These findings highlight the important of using risk-based FNA and selective surgical referral to exclude low-risk microcarcinomas. Adherence to these strategies will mitigate overdiagnosis and unnecessary surgery. Background Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises the need to evaluate whether this increase will lead to higher mortality and more aggressive disease. This study aimed to describe the characteristics of thyroid cancer at the largest hospital in West Java and to examine the relationships between these characteristics. Methods This was an observational study. The subjects were patients with thyroid tumors in the oncology surgery division of a tertiary hospital in West Java, Indonesia, from January 2017 to December 2022. A total of 3414 subjects were included in the study. The characteristics of the thyroid tumors were extracted from medical records. Results The results showed that the mean age of the participants was 47 years, thyroid tumors were more common in women (82.9 %), and tumor location was frequently found on the right side (38.6 %) and over 90 % of cases showed no lymph node metastasis. Univariate analysis confirmed significant associations between histology and patient sex, tumor location, size, and nodal status (all p < 0.05), with very few subcentimeter tumors and higher metastatic rates in papillary (30.3 %) and medullary (37.5 %) carcinomas. Conclusion Thyroid cancer, particularly papillary thyroid carcinoma, was prevalent in the study population, with significant associations between histopathology, sex, tumor size, and lymph node metastasis. These findings highlight the important of using risk-based FNA and selective surgical referral to exclude low-risk microcarcinomas. Adherence to these strategies will mitigate overdiagnosis and unnecessary surgery.
ArticleNumber	102869
Author	Priosadewo, Monty Azhar, Raden Yohana Primastari, Etis Abdurrahman, Maman Sitanggang, Rupita Sari Endangena Nugraha, Prapanca Gaol, Dodi Lumban Muhammad, Arrayyan Rizki, Kiki Akhmad Kurniasari, Rantapina Erdiansyah, Zuldi
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Cites_doi	10.1002/lary.24784 10.1002/hed.21049 10.1016/j.jacr.2017.01.046 10.3390/cancers12113124 10.1089/thy.2015.0297 10.1634/theoncologist.2010-0405 10.3803/EnM.2017.32.1.77 10.1001/jama.2017.4011 10.1089/thy.1994.4.233 10.1002/hed.25029 10.1089/thy.2012.0156 10.1016/j.ecl.2018.10.002 10.1001/jamaoto.2014.1 10.1159/000494719 10.1136/bmjopen-2017-020298 10.1056/NEJMp1604412 10.1002/ijc.33537 10.1200/JOP.2016.012492 10.1038/modpathol.2008.10 10.1007/s00405-016-4302-0 10.1016/S2213-8587(21)00027-9 10.1001/jama.2017.2719 10.6004/jnccn.2022.0040
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Snippet	Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly understood, raises... Background Thyroid cancer is the most common endocrine malignancy in children and adults. The rising incidence of thyroid cancer, which remains poorly...
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SubjectTerms	Adolescent Adult Age groups Aged Asymptomatic Chi-square test Disease Female Females Histopathology Hospitals Humans Hypotheses Incidence Indonesia - epidemiology Iodine Lymph nodes Lymphatic Metastasis Lymphatic system Male Malignancy Medical records Metastases Metastasis Middle Aged Observational study Papillary thyroid carcinoma Patients Population studies Retrospective Studies Surgery Thyroid cancer Thyroid Cancer, Papillary - epidemiology Thyroid Cancer, Papillary - pathology Thyroid Neoplasms - epidemiology Thyroid Neoplasms - pathology Thyroid tumor Tumors Ultrasonic imaging Young Adult
Title	Thyroid cancer in West Java: It’s not all papillary and pretty
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