Association between cadmium concentrations in blood, thyroid tissue and stage of thyroid cancer
Keywords:
association, cadmium, thyroid cancerAbstract
Introduction: The etiology of thyroid cancer remains unclear. Previous studies have supported the hypothesis that cadmium, may contribute to the development of thyroid cancer.
Objectives: To assess cadmium concentrations in thyroid tissue and blood samples, and to evaluate the association between these concentrations and thyroid cancer state.
Methods: A descriptive cross-sectional study was conducted on 282 patients who underwent partial or total thyroidectomy at Cho Ray Hospital. Cadmium concentrations in blood and tissue were determined. The association between Cadmium in blood, thyroid tissue and thyroid cancer stage was assessed by a logistic regression model.
Results: Cadmium levels in blood and tissue samples were higher in patients with cancer tumor node metastasis stage (TNM) stage 2 and 4 compared to stage 1. Logistic regression analysis showed that blood cadmium in the TNM stage 2 and 4 groups were significantly higher than those in stage 1 group (OR = 1.355; 95% CI: 1.176–1.56; p < 0.001). Elevated cadmium levels in thyroid tissue were also positively associated with TNM stages 2 and 4 compared to stage 1 (OR = 1.005; 95% CI: 1.001–1.008; p = 0.007).
Conclusion: Cadmium concentrations in thyroid tissue and blood samples are associated with thyroid cancer stage.
Downloads
References
1. Nguyen S.M, Deppen S, Nguyen G.H, Pham D.X, Bui T.D. Projecting cancer incidence for 2025 in the 2 largest populated cities in Vietnam [Internet]. Cancer control. 2019; 26(1): 1073274819865274. DOI: https://doi.org/10.1177/1073274819865274
2. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Beryllium, cadmium, mercury, and exposures in the glass manufacturing industry [Internet]. Lyon (FR): International Agency for Research on Cancer; 1993. [access: 12/08/2025]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499756/
3. Park E, Kim S, Song SH, Lee CW, Kwon JT, Lim MK, et al. Environmental exposure to cadmium and risk of thyroid cancer from national industrial complex areas: a population-based cohort study [Internet]. Chemosphere. 2021; 268: 128819. DOI: https://doi.org/10.1016/j.chemosphere.2020.128819
4. Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, et al. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017;14(5):587–595. DOI: https://doi.org/10.1016/j.jacr.2017.01.046
5. Ruffolo P, Acquaviva O, Capece P, Mazzei F, Ruffolo B, Panunzio M, et al. From the Histological Model to the Mutational Model: The Study of Heavy Metals and Other Substances in New Antineoplastic Therapies [Internet]. Glob J Med Res. 2023; 23: 7-9. DOI: https://doi.org/10.34257/GJMRBVOL23IS1PG7
6. Erazo-Puentes MC, Sánchez-Torres A, Aguirre-Urizar JM, Bara-Casaus J, Gay-Escoda C. Has the 8th American joint committee on cancer TNM staging improved prognostic performance in oral cancer? A systematic review [Internet]. Medicina Oral, Patología Oral y Cirugía Bucal. 2024; 29(2): e163. DOI: https://doi.org/10.4317/medoral.25983
7. Shao R, Su L, Wang P, Han X, Wang T, Dai J, et al. Higher cadmium exposure was associated with sex-specific thyroid dysfunction: Consistent evidence from two independent cross-sectional studies based on urinary and blood cadmium measurements [Internet]. Research Square [preprint]. 2023: rs. 3. rs-3455102. DOI: https://doi.org/10.21203/rs.3.rs-3455102/v1
8. Chung HK, Nam JS, Ahn CW, Lee YS, Kim KR. Some elements in thyroid tissue are associated with more advanced stage of thyroid cancer in Korean women, Biol. Trace Elem. Res. 2016; 171: 54–62. DOI: https://doi.org/10.1007/s12011-015-0502-5
9. Zhang C, Hua-Bing W, Meng-Xia C. Association of exposure to multiple metals with papillary thyroid cancer risk in China. Environmental Science and Pollution Research. 2019; 26:20560–572. DOI: https://doi.org/10.1007/s11356-019-04733-x
10. He JL, Wu HB, Hu WL, Liu JJ, Zhang Q, Xiao W, et al. Exposure to multiple trace elements and thyroid cancer risk in Chinese adults: A case-control study [Internet]. International Journal of Hygiene and Environmental Health. 2022; 246: 114049. DOI: https://doi.org/10.1016/j.ijheh.2022.114049
11. Capriglione F, Maiuolo J, Celano M, Damante G, Russo D, Bulotta S, et al. Quercetin protects human thyroid cells against cadmium toxicity [Internet]. International Journal of Molecular Sciences. 2021; 22(13): 6849. DOI: https://doi.org/10.3390/ijms22136849
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Lam Nguyen Nha Truc, Nguyen Thi Thu Trang, Tuấn Anh Lê, Hoang Thi Truong, Nguyen Van Chuyen, Nguyen Van Bang, Nguyen Thi Minh Ngoc, Tran Quang Phuc, Nguyen Van Ba, Ta Quang Thanh

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.

