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Trial Title: Preoperative Hemogram Parameters and BRAF Molecular Test Detected by Bethesda 3 Cytology.

NCT ID: NCT06539702

Condition: Blood Platelet Disorder
BRAF V600E
Thyroid Nodule
Cytologic Atypia

Conditions: Official terms:
Thyroid Nodule
Blood Platelet Disorders
Thyroid Diseases

Conditions: Keywords:
Thyroid
carcinoma
Bethesda 3
BRAF

Study type: Observational [Patient Registry]

Overall status: Recruiting

Study design:

Time perspective: Cross-Sectional

Summary: The main hypothesis of this study is that preoperative hemogram parameters can be used as biomarkers for malignancy in patients with thyroid nodule Bethesda 3 cytology. The secondary hypothesis is that BRAF molecular testing has a high predictive value in predicting malignancy in patients with thyroid nodule Bethesda 3 cytology. Primary outcome: Preoperative hemogram parameters. Secondary outcome: BRAF positivity.

Detailed description: The main hypothesis of this study is that preoperative hemogram parameters can be used as biomarkers for malignancy in patients with thyroid nodule Bethesda 3 cytology. The secondary hypothesis is that BRAF molecular testing has a high predictive value in predicting malignancy in patients with thyroid nodule Bethesda 3 cytology. Primary outcome: Preoperative hemogram parameters. Secondary outcome: BRAF positivity. This study aims to reduce unnecessary thyroidectomies, thyroidectomy complications and treatment costs due to Bethesda 3 cytology. The age and gender of all patients to be included in the study will be recorded. Mean Platelet Volume (MPV), Neutrophil/lymphocyte Ratio (NLR), Platelet/Lymphocyte Ratio (PLR) and Lymphocyte/Monocyte Ratio (LMR) will be recorded in preoperative hemograms. Nodule sizes detected by preoperative Bethesda III cytology will be recorded. The sizes of nodules with preoperative AUS cytology after thyroidectomy, determined as a result of pathological examination, will be recorded. Patients with malignant cytology will be divided into papillary thyroid carcinoma (PTC), Follicular Thyroid Carcinoma (FTC), and tumor sizes will be recorded. Among the patients included in the study, BRAF molecular testing will be performed on the preoperative cytology of 25 patients whose thyroidectomy materials were reported to be malignant.

Criteria for eligibility:

Study pop:
Patients between the ages of 18 -75

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Patients between the ages of 18 -75 2. Patients who were diagnosed with Bethesda III as a result of preoperative FNAC and decided to undergo thyroidectomy Exclusion Criteria: 1. Patients over 18 years old and under 75 years old 2. Patients with malignancy detected in another focus with preoperative Bethesda III FNAC 3. Detection of malignancy in another focus other than the nodule with Bethesda III cytological result after thyroidectomy 4. Failure to obtain preoperative hemogram results Patients who do not agree to participate in scientific studies for BRAF testing

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Prof. Dr. Cemil Tascioglu City Hospital

Address:
City: Istanbul
Zip: 34000
Country: Turkey

Status: Recruiting

Contact:
Last name: Ugur Kesici, Assoc. Prof

Phone: 05445474710
Email: ugurkesici77@mynet.com

Contact backup:

Phone ext: Kesici
Email: ugurkesici77@mynet.com

Investigator:
Last name: Ugur Kesici
Email: Principal Investigator

Start date: July 20, 2024

Completion date: August 15, 2024

Lead sponsor:
Agency: Saglik Bilimleri Universitesi
Agency class: Other

Source: Saglik Bilimleri Universitesi

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06539702

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