Ultrasound-guided thyroid nodule biopsy in esophageal cancer patients with thyroid nodules for surgical decision-making clinical value

doi:10.4240/wjgs.v18.i5.118655

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. May 27, 2026; 18(5): 118655
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.118655

Ultrasound-guided thyroid nodule biopsy in esophageal cancer patients with thyroid nodules for surgical decision-making clinical value

Han Han, Wei Geng, Fang Zheng, Juan-Juan Huang

Han Han, Juan-Juan Huang, Department of Color Doppler Ultrasound, The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian 223800, Jiangsu Province, China

Han Han, Juan-Juan Huang, Department of Color Doppler Ultrasound, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian 223800, Jiangsu Province, China

Wei Geng, Department of Ultrasonic Diagnosis, Qingdao Special Servicemen Recuperation Center of PLA Navy, Qingdao 266000, Shandong Province, China

Fang Zheng, Department of Imaging, Army Xiamen Special Service Sanatorium Center, Xiamen 361005, Fujian Province, China

Co-first authors: Han Han and Wei Geng.

Author contributions: Han H, Geng W contributed to research design, data collection, data analysis, and paper writing; Zheng F, Huang JJ was responsible for research design, funding application, data analysis, reviewing and editing, communication coordination, ethical review, copyright and licensing, and follow-up. All authors have read and approve the final manuscript. Han H and Geng W contributed equally to this work as co-first authors.

Supported by Jiangsu Provincial Young Scientific and Technological Talent Support Project, No. JSTJ-2024-665; and Science Foundation of Suqian City, China.

Institutional review board statement: The research was reviewed and approved by The Nanjing Drum Tower Hospital Group Suqian Hospital.

Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.

Conflict-of-interest statement: No conflict of interest is associated with this work.

STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.

Data sharing statement: No other data available.

Corresponding author: Juan-Juan Huang, Chief Physician, Department of Color Doppler Ultrasound, The Affiliated Suqian Hospital of Xuzhou Medical University, Longcheng Shijia Residential Area, Sucheng District, Suqian 223800, Jiangsu Province, China. hjjscibg@163.com

Received: January 9, 2026
Revised: January 26, 2026
Accepted: February 27, 2026
Published online: May 27, 2026
Processing time: 138 Days and 4.6 Hours

Core Tip

Core Tip: In a study examining treatment decisions for patients with esophageal cancer and thyroid masses, we confirmed that after adjusting for multiple factors in esophageal cancer clinical staging, malignant results from thyroid nodule fine-needle aspiration biopsy remain an independent predictor influencing esophageal resection. This finding demonstrates that ultrasound-guided fine-needle aspiration biopsy can participate in the surgical decision-making pathway by clarifying the nature of thyroid lesions preoperatively. This study supports establishing a standardized pathway within a multidisciplinary diagnostic and treatment framework, encompassing “imaging screening-needle biopsy confirmation-integrated decision-making”, to enhance the precision of therapeutic strategies.