nctId: NCT06286631 id: Rating scale-202402 briefTitle: Prediction of Lymph Node Metastasis in Patients With Thyroid Malignancy by a New Scale overallStatus: RECRUITING date: 2023-05-01 date: 2025-10-01 date: 2026-10-01 date: 2024-02-29 date: 2024-02-29 name: Second Affiliated Hospital of Xi'an Jiaotong University class: OTHER briefSummary: The incidence of papillary thyroid cancer (PTC) has been on the rise in recent years, and 20%-50% of PTC patients will have lymph node metastasis. Lymph node involvement in PTC patients is usually related to the recurrence of PTC after surgery, and 30% of patients recur without lymph node dissection, with the risk of central cervical lymph node metastasis being the greatest, so it seems to be a good choice to perform lymph node dissection on patients after thyroidectomy, but in fact, there are controversies at home and abroad as to whether to perform lymph node dissection or not. The 2021 Chinese Society of Clinical Oncology (CSCO) guidelines for the diagnosis and treatment of differentiated thyroid cancer state that prophylactic central lymph node dissection (PCND) may increase the incidence of postoperative complications, but due to the high metastatic rate of PTC and the ability of PCND to effectively prevent recurrence and reoperation, countries in the East Asian region perform prophylactic lymph node dissection on almost all patients with PTC. However, for more countries in Europe and the United States, performing PCND has become a non-essential, individualized option. The aim of this study is to collect multifactorial data from more than 1,000 patients who have undergone previous thyroidectomy from 2021 to 2023, and to develop a novel scoring scale that can be used to individualize patients' scores based on a variety of factors prior to surgery, so that patients can be more accurately predicted to have lymph node metastasis and need prophylactic lymph node dissection prior to surgery, and patients who do not need dissection can avoid surgery. For patients who do not need lymph node dissection, complications caused by surgery can be avoided, while for patients who do have lymph node metastasis, recurrence of their cancer can be prevented. This will change the status quo of not being able to accurately determine the actual situation through simple preoperative examination or performing prophylactic lymph node dissection for all PTC patients. conditions: Papillary Thyroid Cancer studyType: OBSERVATIONAL observationalModel: COHORT timePerspective: OTHER count: 800 type: ESTIMATED measure: Height measure: Weight measure: Age measure: Genders measure: BMI measure: Whether lymph node dissection was performed during previous surgery measure: Tumor Diameter Size measure: Tumor limitation of the primary focus measure: Extratumoral invasion measure: Pathologic lymph node metastasis measure: Tumor cystic solidity on preoperative ultrasound measure: Preoperative ultrasound tumor echo intensity measure: Preoperative ultrasound tumor boundaries measure: Preoperative ultrasound tumor for the presence of calcifications measure: Preoperative ultrasound tumor aspect ratios measure: Preoperative ultrasound for enlarged cervical lymph nodes measure: TSH measure: TPOAb measure: TgAb measure: Calcium measure: B-raf gene mutation sex: ALL minimumAge: 16 Years maximumAge: 80 Years stdAges: CHILD stdAges: ADULT stdAges: OLDER_ADULT facility: The Second Affiliated Hospital of Xi'an Jiaotong University status: RECRUITING city: Xi'an state: Shaanxi zip: 710000 country: China name: Yang Liu, doctor role: CONTACT phone: 0086+029-13384986500 email: individualliu@163.com lat: 34.25833 lon: 108.92861 typeAbbrev: Prot hasProtocol: True hasSap: False hasIcf: False label: Study Protocol date: 2023-10-29 uploadDate: 2024-02-22T03:07 filename: Prot_000.pdf size: 79490 typeAbbrev: ICF hasProtocol: False hasSap: False hasIcf: True label: Informed Consent Form date: 2023-10-29 uploadDate: 2024-02-22T03:08 filename: ICF_001.pdf size: 132491 hasResults: False