Table 4 Clinical, laboratory, imaging and related pathologic findings in DSVPTC
Case | Age | Sex | Preoperative thyroid function | Operation way | Background | Nodule | Metastatic lymph node | |||
|---|---|---|---|---|---|---|---|---|---|---|
“Snowstorm” pattern on sonogram | Pathology | Ultrasound | Pathology | Ultrasound | Pathology | |||||
1 | 16 | F | Normal | Total thyroidectomy + LND | Bilateral lobes | Diffused distribution of tumor cells and psammoma bodies in bilateral lobes | - | - | + | + |
2 | 38 | F | TSH above the normal range | Total thyroidectomy + LND | Left lobe | Diffused distribution of tumor cells and psammoma bodies in the left lobe and scattered distribution in the right lobe | - | - | + | + |
3 | 19 | F | Normal | Total thyroidectomy + LND | Left lobe | Diffused distribution of tumor cells and psammoma bodies in the left lobe | One nodule in the right lobe | One localized cPTC lesion in the right lobe | + | + |
4 | 35 | F | TgAb positive | Right thyroidectomy + LND | Right lobe (a few microcalcifications in the left lobe) | Diffused distribution of tumor cells and psammoma bodies in the right lobe | - | - | + | + |
5 | 35 | F | TPOAb positive | Total thyroidectomy + LND | Right lobe | Scattered distribution of tumor cells and psammoma bodies with lymph vessel tumor emboli in the right lobe | Multiple nodules in the right lobe | Gathering areas of tumor cells and psammoma bodies | + | + |
6 | 36 | F | TSH above the normal range, TgAb and TPOAb positive | Total thyroidectomy + LND | Right lobe | Diffused distribution of tumor cells and psammoma bodies in the right lobe | One nodule in the right lobe | A fibrotic nodule | + | + |
7 | 35 | F | TSH above the normal range, TgAb and TPOAb positive | Total thyroidectomy + LND | No | Scattered distribution of tumor cells and psammoma bodies in bilateral lobes, decreasing with distance from the nodule in the right lobe with lymph vessel tumor emboli | One nodule in the right lobe | Gathering area of tumor cells and psammoma bodies | + | + |
8 | 67 | F | TgAb positive | Total thyroidectomy + LND | No | Scattered distribution of tumor cells and psammoma bodies in the right lobe and sporadic tumor cells in the left lobe | Multiple nodules in the right lobe | Gathering areas of tumor cells and psammoma bodies in the right lobe | + | + |
9 | 26 | F | Normal | Left thyroidectomy + LND | No | Scattered distribution of tumor cells and psammoma bodies in the left lobe, decreasing with distance from the nodule with lymph vessel tumor emboli | One nodule in the left lobe | Gathering area of tumor cells and psammoma bodies in the left lobe | - | + |
10 | 53 | M | Normal | Total thyroidectomy + LND | No | Scattered distribution of tumor cells and psammoma bodies in the left lobe | One nodule in the left lobe | A fibrotic nodule in the left lobe | + | + |
F: female; M: male; LND: lateral neck dissection | ||||||||||