World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website https://wjon.elmerpub.com

Original Article

Volume 16, Number 1, February 2025, pages 113-119


Survival Analysis of Anaplastic Thyroid Carcinoma With Various Therapeutic Modalities: Twenty-Seven Years’ Experience in a Single Cancer Center

Figures

Figure 1.
Figure 1. The trend of ATC cases during 1998 - 2024. ATC: anaplastic thyroid carcinoma.
Figure 2.
Figure 2. Kaplan-Meier survival analysis based on therapeutic modalities.

Tables

Table 1. Baseline Characteristics of the Samples
 
VariablesN = 42
RT: radiotherapy; SD: standard deviation.
Age (years) (mean ± SD)62.57 ± 13.42
Gender
  Female24 (57.1%)
  Male18 (42.9%)
T
  T4a24 (57.1%)
  T4b18 (42.9%)
N
  N016 (28.1%)
  N117 (40.5%)
  N1b1 (2.4%)
  N2a1 (2.4%)
  N2b2 (4.8%)
  N2c4 (9.5%)
  N31 (2.4%)
M
  M026 (61.9%)
  M116 (38.1%)
Metastasis location
  Lung14 (82.3%)
  Bone3 (17.6%)
  Others3 (17.6%)
Karnofsky performance score
  ≤ 8027 (64.3%)
  > 8015 (35.7%)
Stage
  IVa15 (35.7%)
  IVb10 (23.8%)
  IVc17 (40.5%)
Survival time (days)
  Mean ± SD44.64 ± 42.23
  Median27.50
Therapeutic modalities
  Surgery + chemotherapy/RT5 (11.9%)
  Surgery only21 (50.0%)
  Chemotherapy/RT only5 (11.9%)
  No therapy11 (26.2%)
Types of surgery
  Isthmectomy1 (3.8%)
  Isthmolobectomy6 (23.1%)
  Total thyroidectomy5 (19.2%)
  Tracheostomy only5 (19.2%)
  Isthmectomy + tracheostomy7 (26.9%)
  Total thyroidectomy + tracheostomy2 (7.8%)

 

Table 2. Survival Time Based on Patient Clinical Characteristics
 
VariablesSurvival time (days) (mean ± SD)Mean differenceP-value95% CI
Mann-Whitney U test was used. CI: confidence interval; SD: standard deviation.
Age
  > 60 years38.76 ± 31.07-5.860.567-26.43 to 14.70
  ≤ 60 years44.63 ± 32.83
Gender
  Female35.52 ± 27.30-12.580.208-32.48 to 7.30
  Male48.11 ± 35.71
T
  T4a40.09 ± 35.69-2.190.828-22.48 to 18.10
  T4b42.28 ± 26.13
N
  N052.06 ± 37.1318.060.073-1.74 to 37.87
  N+34.00 ± 25.67
M
  M042.23 ± 34.763.230.756-17.66 to 24.12
  M139.00 ± 25.87
Stage
  IVa/IVb45.21 ± 34.6810.030.321-30.22 to 10.16
  IVc35.18 ± 26.23
Karnofsky score
  ≤ 8037.59 ± 33.60-19.740.149-46.84 to 7.36
  > 8057.33 ± 53.47

 

Table 3. Survival Analysis Based on Therapeutic Modalities
 
Therapeutic modalitiesMedian survival (days)Standard errorP-value
RT: radiotherapy.
Surgery + chemotherapy/RT6439.430.457
Surgery only261.52
Chemotherapy/RT only4928.48
No therapy1912.11