Vitamin D Deficiency Associated with Differentiated Thyroid Carcinoma: A Case- Control Study

Asian Pac J Cancer Prev. 2017 Dec 29;18(12):3419-3422. doi: 10.22034/APJCP.2017.18.12.3419.

Abstract

Objective: In recent decades, the incidence of thyroid cancer has increased throughout the world. It is unclear whether factors such as vitamin D deficiency may have been involved in this increase. The present case-control study was conducted to examine any association between Vitamin D deficiency and thyroid cancers. Methods: The study was conducted on 85 patients with differentiated thyroid cancer diagnosed based on fine needle aspiration biopsy as the case group and 85 healthy controls. Serum levels of vitamin D were evaluated before thyroidectomy. For each patient in the case group, one healthy euthyroid person without any thyroid nodules from the general population matched based on season, sex, age (± 1 year) and BMI (± 1) was selected. Finally, 85 pairs were obtained considering inclusion and exclusion criteria. Thyroid function, thyroid antibodies and serum vitamin D were assessed and thyroid sonography was performed in all participants. Results: In the patient group, 72 (85%) were female and 13 (15%) were male. The mean (SD) serum vitamin D level was 8.00 (±3.7) in patient group, as compared to 13.4 (±7.90) in the control group, the difference being significant (OR: 6, 95 % CI: 1.02-113.3; P=0.046). Conclusion: A significant association was noted between vitamin D deficiency and differentiated thyroid cancer. Further studies with a prospective design are necessary to further define the roles of this factor.

Keywords: Vitamin D; thyroid cancer; etiology.

MeSH terms

  • Adult
  • Case-Control Studies
  • Cell Differentiation*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Iran / epidemiology
  • Male
  • Prognosis
  • Thyroid Neoplasms / complications*
  • Thyroid Neoplasms / surgery
  • Thyroidectomy*
  • Vitamin D / blood*
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / epidemiology
  • Vitamin D Deficiency / etiology*

Substances

  • Vitamin D