Volume 44, Issue 8 pp. 1842-1848
ORIGINAL ARTICLE

Thyroid nodules of indeterminate cytology in Hispanic/Latinx patients

Catherine E. Kerr MD

Catherine E. Kerr MD

Department of Pediatric Endocrinology, University of Texas Health Science Center San Antonio, San Antonio, TX, United States

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Jay Ferrell MD

Jay Ferrell MD

Department of Otolaryngology, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA

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Mio Kitano MD

Mio Kitano MD

Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA

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Wouter Koek PhD

Wouter Koek PhD

Department of Cell Systems and Anatomy, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA

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Patricia L. M. Dahia MD, PhD

Patricia L. M. Dahia MD, PhD

Division of Hematology and Medical Oncology, Department of Medicine, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA

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Jorge Velez MD

Jorge Velez MD

Department of Endocrinology, University Health System, San Antonio, Texas, USA

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Gary Francis MD, PhD

Corresponding Author

Gary Francis MD, PhD

Department of Pediatric Endocrinology, University of Texas Health Science Center San Antonio, San Antonio, TX, United States

Correspondence

Gary Francis, Department of Pediatric Endocrinology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7806, San Antonio, TX 78229, USA.

Email: [email protected]

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First published: 18 May 2022
Citations: 1

Preliminary data were presented at the 90th annual meeting of the American Thyroid Association.

Section Editor: Mark Edwin Zafereo

Abstract

Background

Behavior of differentiated thyroid cancer (DTC) varies among ethnic groups. Recommended management of thyroid nodules with indeterminate cytology (TN-IC) is based on molecular analysis from predominantly non-Hispanic white patients. We hypothesized that TN-IC in Hispanic/Latinx patients would have different features, management, and outcomes and that molecular testing might perform differently in Hispanic/Latinx patients.

Methods

Retrospective chart review was performed on 127 TN-IC analyzed with Afirma. Patient characteristics were compared using linear model ANOVA and Fisher's exact test.

Results

Out of 127 TN-IC, 71 (56%) were Hispanic/Latinx. Hispanic/Latinx had a greater prevalence of diabetes, but Afirma results (benign or suspicious) were similar between ethnic groups. Fourteen patients had malignant pathology. Their management and outcomes were similar across groups. The negative predictive value for our cohort (97.9%) was similar to published data.

Conclusions

Data from our predominantly-Hispanic/Latinx cohort suggest that Afirma performs similarly in Hispanic/Latinx and non-Hispanic white patients with TN-IC.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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