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Comparing the rate and extent of malignancy in surgically excised thyroid nodules across race and ethnicity.

MedStar author(s):

Burman, Kenneth D

Carroll, Nancy M

Citation: American Journal of Surgery. 223(4):617-623, 2022 Apr.PMID: 34600740Institution: MedStar Washington Hospital Center | MedStar Washington Hospital CenterDepartment: Medicine/Endocrinology | MedStar General Surgery Residency | Surgery/Endocrine Surgery | Surgery/General SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Thyroid Neoplasms | *Thyroid Nodule | Ethnicity | Humans | Retrospective Studies | Thyroid Neoplasms/pa [Pathology] | Thyroid Neoplasms/su [Surgery] | Thyroid Nodule/su [Surgery] | ThyroidectomyYear: 2022 ISSN:

0002-9610

Name of journal: American journal of surgeryAbstract: BACKGROUND: Few studies have compared the features of thyroid cancer among races and ethnicities. We hypothesized that race and ethnicity may influence the frequency and features of thyroid malignancy in thyroid nodules.CONCLUSIONS: Race and ethnicity may play important roles in the risk of malignancy as well as in the extent of thyroid cancer. Copyright (c) 2021 Elsevier Inc. All rights reserved.METHOD: This was a retrospective chart review of patients between 2013 and 2020 who underwent thyroidectomy.RESULTS: In the analysis of 2737 patients, thyroid cancer was less prevalent among Blacks (24.0% vs Whites 52.1%, Hispanics 58.7%, Asians 71.7%, and Others 57.9%, p < 0.001). Thyroid cancer in Blacks was less likely to have extrathyroidal extension (9.7% vs Whites 18.6%, Hispanics 25.8%, Asians 18.2%, and Others 17.8%, p = 0.01), overall nodal involvement (12.4% vs Whites 31.1%, Hispanics 37.5%, Asians 36.3%, and Others 30.1%, p < 0.01), and lateral neck metastasis (4.4% vs Whites 10.8%, Hispanics 6.3%, Asians 13.2%, and Others 9.6%, p = 0.02).All authors: Burman KD, Carroll NM, Felger EA, Kang JK, Lai V, Lu J, Rosen JE, Wartofsky L, Zheng HOriginally published: American Journal of Surgery. 2021 Sep 29Fiscal year: FY2022Digital Object Identifier:

https://dx.doi.org/10.1016/j.amjsurg.2021.09.018

Date added to catalog: 2021-11-01

Holdings ( 1 )
Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34600740	Available		34600740

BACKGROUND: Few studies have compared the features of thyroid cancer among races and ethnicities. We hypothesized that race and ethnicity may influence the frequency and features of thyroid malignancy in thyroid nodules.

METHOD: This was a retrospective chart review of patients between 2013 and 2020 who underwent thyroidectomy.

RESULTS: In the analysis of 2737 patients, thyroid cancer was less prevalent among Blacks (24.0% vs Whites 52.1%, Hispanics 58.7%, Asians 71.7%, and Others 57.9%, p < 0.001). Thyroid cancer in Blacks was less likely to have extrathyroidal extension (9.7% vs Whites 18.6%, Hispanics 25.8%, Asians 18.2%, and Others 17.8%, p = 0.01), overall nodal involvement (12.4% vs Whites 31.1%, Hispanics 37.5%, Asians 36.3%, and Others 30.1%, p < 0.01), and lateral neck metastasis (4.4% vs Whites 10.8%, Hispanics 6.3%, Asians 13.2%, and Others 9.6%, p = 0.02).

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