Prevalence and risk factors of thyroid nodules in breast cancer women with different clinicopathological characteristics: a cross-sectional study

作者全名："Ma, Chen-yu; Liang, Xin-yu; Ran, Liang; Hu, Lei; Zeng, Fan-ling; She, Rui-ling; Feng, Jun-han; Jiang, Zhi-yu; Li, Zhao-xing; Qu, Xiu-quan; Peng, Bai-qing; Wu, Kai-nan; Kong, Ling-quan"

作者地址："[Ma, Chen-yu; Liang, Xin-yu; She, Rui-ling; Feng, Jun-han; Jiang, Zhi-yu; Li, Zhao-xing; Qu, Xiu-quan; Peng, Bai-qing; Wu, Kai-nan; Kong, Ling-quan] Chongqing Med Univ, Affiliated Hosp 1, Dept Endocrine & Breast Surg, Chongqing 400016, Peoples R China; [Ran, Liang; Zeng, Fan-ling] Chongqing Med Univ, Affiliated Hosp 1, Hlth Management Ctr, Chongqing 400016, Peoples R China; [Hu, Lei] Chongqing Med Univ, Affiliated Hosp 1, Informat Ctr, Chongqing 400016, Peoples R China"

通信作者："Kong, LQ (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Endocrine & Breast Surg, Chongqing 400016, Peoples R China."

来源：CLINICAL & TRANSLATIONAL ONCOLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001201755700001

JCR分区：Q3

影响因子：3.4

年份：2024

卷号：　

期号：　

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结束页：　

文献类型：Article; Early Access

关键词：Breast cancer; Thyroid nodule; Clinicopathological characteristics; Hormone receptor

摘要："Background: Association between breast cancer (BC) and thyroid nodules (TNs) is still unclear. This research was to estimate the prevalence and risk factors of TN in Chinese BC women at initial diagnosis. Methods: 1731 Chinese early-stage BC women at initial diagnosis underwent thyroid ultrasound and 1:1 age-matched Chinese healthy women underwent health examination in corresponding period were enrolled for analysis. Results: Prevalence of TN and TI-RADS >= 4 TN in BC patients (56.27% and 9.76%) were higher than healthy people (46.04% and 5.49%), respectively, P < 0.001. Among BC patients, prevalence of TN and TI-RADS >= 4 TN in hormone receptor (HR)-positive patients (59.57% and 11.81%) were higher than HR-negative patients (48.77% and 5.10%), respectively, P < 0.001, while without difference between HR-negative patients and healthy people. After adjusting for age and BMI, HR-positive patients had higher risk of TN (OR = 1.546, 95%CI 1.251-1.910, P < 0.001) and TI-RADS >= 4 TN (OR = 3.024, 95%CI 1.943-4.708, P < 0.001) than HR-negative patients. Furthermore, the risk of TI-RADS >= 4 TN was higher in patients with estrogen receptor (ER) positive (OR = 2.933, 95%CI 1.902-4.524), progesterone receptor (PR) positive (OR = 1.973, 95%CI 1.378-2.826), Ki-67 < 20% (OR = 1.797, 95%CI 1.280-2.522), and tumor size < 2 cm (OR = 1.804, 95%CI 1.276-2.552), respectively, P < 0.001. Conclusions: Prevalence of TN, especially TI-RADS >= 4 TN, in Chinese early-stage BC women was higher than healthy people. HR-positive patients had higher prevalence and risk of TN, while without difference between HR-negative patients and healthy people. The increased risk of TN was correlated with ER-positive, PR-positive, lower Ki-67 expression, and smaller tumor size."

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