Molecular Analysis of Thyroid Tumors

被引:79
作者
Bhaijee, Feriyl [2 ]
Nikiforov, Yuri E. [1 ,3 ]
机构
[1] Univ Pittsburgh, Dept Pathol, UPMC Presbyterian, Pittsburgh, PA 15213 USA
[2] Univ Mississippi, Med Ctr, Dept Pathol, Jackson, MS 39216 USA
[3] Univ Pittsburgh, Med Ctr, Dept Pathol & Lab Med, Pittsburgh, PA USA
关键词
Thyroid cancer; Papillary carcinoma; Follicular carcinoma; Mutations; Genetic; Molecular; BRAF; RET/PTC; RAS; PAX8/PPAR gamma; NEEDLE-ASPIRATION DIAGNOSIS; REQUIRING REOPERATIVE SURGERY; RET/PTC GENE REARRANGEMENTS; BRAF V600E MUTATION; N-RAS MUTATION; PAPILLARY CARCINOMAS; BRAF(V600E) MUTATION; ONCOGENE ACTIVATION; CLINICAL-IMPLICATIONS; FOLLICULAR VARIANT;
D O I
10.1007/s12022-011-9170-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thyroid cancer is the most common endocrine malignancy, and its incidence is rising in the USA and other countries. Papillary and follicular thyroid carcinomas are the two most common types of thyroid cancer. Non-overlapping genetic alterations, including BRAF and RAS point mutations, and RET/PTC and PAX8/PPAR gamma rearrangements, are found in more than 70% of papillary and follicular thyroid carcinomas. These represent the most common genetic alterations in thyroid cancer, as well as molecular markers of diagnostic and prognostic significance. The use of these and other emerging molecular markers will likely improve the diagnosis of malignancy in thyroid nodules as well as facilitate more individualized operative and postoperative management. Herein, we provide a brief overview of the common genetic alterations in papillary and follicular thyroid carcinoma and discuss the diagnostic and prognostic significance thereof.
引用
收藏
页码:126 / 133
页数:8
相关论文
共 106 条
[1]   Correlation between genetic alterations and microscopic features, clinical manifestations, and prognostic characteristics of thyroid papillary carcinomas [J].
Adeniran, AJ ;
Zhu, ZW ;
Gandhi, M ;
Steward, DL ;
Fidler, JP ;
Giordano, TJ ;
Biddinger, PW ;
Nikiforov, YE .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2006, 30 (02) :216-222
[2]  
[Anonymous], 2004, WHO CLASSIFICATION T
[3]   N-ras mutation in poorly differentiated thyroid carcinomas:: Correlation with bone metastases and inverse correlation to thyroglobulin expression [J].
Basolo, F ;
Pisaturo, F ;
Pollina, LE ;
Fontanini, G ;
Elisei, R ;
Molinaro, E ;
Iacconi, P ;
Miccoli, P ;
Pacini, F .
THYROID, 2000, 10 (01) :19-23
[4]   Correlation between the BRAF V600E Mutation and Tumor Invasiveness in Papillary Thyroid Carcinomas Smaller than 20 Millimeters: Analysis of 1060 Cases [J].
Basolo, Fulvio ;
Torregrossa, Liborio ;
Giannini, Riccardo ;
Miccoli, Mario ;
Lupi, Cristiana ;
Sensi, Elisa ;
Berti, Piero ;
Elisei, Rossella ;
Vitti, Paolo ;
Baggiani, Angelo ;
Miccoli, Paolo .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2010, 95 (09) :4197-4205
[5]   BRAF mutations in anaplastic thyroid carcinoma: implications for tumor origin, diagnosis and treatment [J].
Begum, S ;
Rosenbaum, E ;
Henrique, R ;
Cohen, Y ;
Sidransky, D ;
Westra, WH .
MODERN PATHOLOGY, 2004, 17 (11) :1359-1363
[6]  
Bongarzone I, 1998, CLIN CANCER RES, V4, P223
[7]   Impact of Proto-Oncogene Mutation Detection in Cytological Specimens from Thyroid Nodules Improves the Diagnostic Accuracy of Cytology [J].
Cantara, Silvia ;
Capezzone, Marco ;
Marchisotta, Stefania ;
Capuano, Serena ;
Busonero, Giulia ;
Toti, Paolo ;
Di Santo, Andrea ;
Caruso, Giuseppe ;
Carli, Anton Ferdinando ;
Brilli, Lucia ;
Montanaro, Annalisa ;
Pacini, Furio .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2010, 95 (03) :1365-1369
[8]   Genotyping of an Italian papillary thyroid carcinoma cohort revealed high prevalence of BRAF mutations, absence of RAS mutations and allowed the detection of a new mutation of BRAF oncoprotein (BRAFV599Ins) [J].
Carta, C ;
Moretti, S ;
Passeri, L ;
Barbi, F ;
Avenia, N ;
Cavaliere, A ;
Monacelli, M ;
Macchiarulo, A ;
Santeusanio, F ;
Tartaglia, M ;
Puxeddu, E .
CLINICAL ENDOCRINOLOGY, 2006, 64 (01) :105-109
[9]  
Chen YT, 2008, MODERN PATHOL, V21, P1139, DOI 10.1038/modpathol.2008.105
[10]   Analysis of ret/PTC gene rearrangements refines the fine needle aspiration diagnosis of thyroid cancer [J].
Cheung, CC ;
Carydis, B ;
Ezzat, S ;
Bedard, YC ;
Asa, SL .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2001, 86 (05) :2187-2190