PMID- 35533678 OWN - NLM STAT- Publisher LR - 20240216 IS - 1942-7522 (Electronic) IS - 0145-5613 (Linking) DP - 2022 May 9 TI - Predictors of Thyroid Gland Invasion in Total Laryngectomy for Advanced Laryngeal Squamous Cell Carcinoma. PG - 1455613221098300 LID - 10.1177/01455613221098300 [doi] AB - Objectives: Thyroidectomy for advanced laryngeal squamous cell carcinoma (LSCC) is controversial. This study aimed to identify predictors of thyroid gland invasion in patients with LSCC and management of the thyroid gland during total laryngectomy. Patients and Methods: Clinical data and pathological characteristics of 113 patients, who underwent laryngectomy with thyroidectomy for advanced LSCC in Guangdong Provincial People's Hospital between 2009 and 2019, were retrospectively analyzed. The incidence and predictors of thyroid gland invasion were analyzed, and a new predictor was proposed using a parallel test. Results: Of 113 patients, 25.7% exhibited thyroid invasion. A new predictor that combined the lower third of thyroid cartilage invasion and thyroid gland invasion on computed tomography/magnetic resonance imaging (CT/MRI) was associated with pathological thyroid gland invasion (P = 0.001; sensitivity, 88.2%; negative predictive value, 95%). Conclusion: Thyroidectomy may be required during total laryngectomy in those with invasion of the lower third of thyroid cartilage and/or thyroid gland invasion revealed on CT/MRI instead of being performed routinely. FAU - Xie, Jiaxuan AU - Xie J AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - 66477Shantou University Medical College, Shantou, China. FAU - Liu, Hui AU - Liu H AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - 66477Shantou University Medical College, Shantou, China. FAU - Wu, Peiyan AU - Wu P AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. AD - The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China. FAU - Chen, Liangsi AU - Chen L AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. FAU - Ge, Pingjiang AU - Ge P AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. FAU - Chen, Shaohua AU - Chen S AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. FAU - Zhang, Siyi AU - Zhang S AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. FAU - Lu, Zhongming AU - Lu Z AUID- ORCID: 0000-0003-1976-5671 AD - Department of Otolaryngology-Head and Neck Surgery, 89346Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. LA - eng PT - Journal Article DEP - 20220509 PL - United States TA - Ear Nose Throat J JT - Ear, nose, & throat journal JID - 7701817 SB - IM OTO - NOTNLM OT - laryngeal squamous cell carcinoma OT - predictors OT - thyroid cartilage OT - thyroid gland invasion OT - total laryngectomy EDAT- 2022/05/10 06:00 MHDA- 2022/05/10 06:00 CRDT- 2022/05/09 18:34 PHST- 2022/05/10 06:00 [pubmed] PHST- 2022/05/10 06:00 [medline] PHST- 2022/05/09 18:34 [entrez] AID - 10.1177/01455613221098300 [doi] PST - aheadofprint SO - Ear Nose Throat J. 2022 May 9:1455613221098300. doi: 10.1177/01455613221098300.