Thyroid cancers

甲状腺癌
  • 文章类型: Case Reports
    甲状腺内胸腺癌(ITC)是甲状腺内胸腺分化的恶性上皮性肿瘤。它的频率高达所有恶性甲状腺肿瘤的0.15%。它通常是低度肿瘤。临床状况通常会误导其他更晚期的肿瘤,如非角化鳞状细胞癌的颈淋巴结转移,未分化变体,去分化癌,甲状腺髓样癌.
    患者诊断为未分化癌的颈淋巴结转移。该患者在以前的医院首次诊断为颈淋巴结转移。在做了ITC诊断后,该患者接受了甲状腺凝乳酶手术,并接受了低剂量的放化疗以预防复发。这是我们医院诊断出的首例此类疾病,也是越南报告的首例病例。
    ITC是罕见的,似乎与所有胸腺癌变体相似。最流行的类型是鳞癌。免疫组织化学染色对于具有CD5、CD117阳性的胸腺起源肿瘤是典型的。ITC通常对单克隆PAX8呈阴性,但在这种情况下呈阳性(MRQ-50克隆,Sigma-Aldrich)。这个发现是一个令人兴奋的,应该考虑。
    结论:报告病例增加了对该疾病的认识,尤其是在越南医生和患者中。
    UNASSIGNED: Intrathyroid thymic carcinoma (ITC) is a malignant epithelial tumor with thymic differentiation within the thyroid gland. Its frequency is up to 0.15 % of all malignant thyroid tumors. It is frequently a low-grade tumor. The clinical status is often misleading to other more advanced tumors like cervical lymph node metastasis of nonkeratinizing squamous cell carcinoma, undifferentiated variant, dedifferentiated carcinoma, and medullary carcinoma of the thyroid.
    UNASSIGNED: The patient came to us with the diagnosis of cervical lymph node metastasis of undifferentiated carcinoma. This patient was first diagnosed with cervical lymph node metastasis in the previous hospital. After having an ITC diagnosis, the patient was operated on the rennet of thyroid glands and had a low dose of radio-chemotherapy for recurrent prevention purposes. It is the first case of such a disease diagnosed at our hospital and also the first case reported in Vietnam.
    UNASSIGNED: ITC is rare and appears similar to all thymic carcinoma variants. The most popular type is squamous carcinoma. Immunohistochemical stains are typical for thymic origin tumors with CD5, CD117 positive. ITC is often negative for monoclonal PAX8 but positive in this case (MRQ-50 clone, Sigma-Aldrich). This finding is an exciting one that should considered.
    CONCLUSIONS: Reporting the case increases the awareness of the disease, especially among Vietnam Doctors and patients.
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  • 文章类型: Journal Article
    近年来,甲状腺癌在世界各地变得越来越普遍。诊断中仍有许多问题亟待解决,治疗,甲状腺癌的预后。液体活检(主要是循环肿瘤DNA(ctDNA),循环肿瘤细胞(CTC),和循环外泌体)可能提供一种新颖而理想的方法来解决这些问题,使我们能够更全面地评估疾病的特征,并对多种恶性肿瘤有作用。最近,液体活检已被证明是甲状腺癌诊断的关键,治疗,和预后在许多以前的研究。在这次审查中,通过测试CTC,ctDNA,和外泌体,我们关注液体活检在甲状腺癌中可能的临床作用,包括诊断和预后生物标志物和对治疗的反应。通过查阅现有的公共信息,我们简要回顾了液体活检组件在甲状腺癌中的进展。我们还讨论了液体活检在甲状腺癌中的临床潜力,为液体活检研究提供参考。液体活检有可能成为早期检测的有用工具,监测,或预测甲状腺癌对治疗的反应和预后,有希望的临床应用。
    Thyroid cancer has become more common in recent years all around the world. Many issues still need to be urgently addressed in the diagnosis, treatment, and prognosis of thyroid cancer. Liquid biopsy (mainly circulating tumor DNA (ctDNA), circulating tumor cells (CTCs), and circulating exosomes) may provide a novel and ideal approach to solve these issues, allows us to assess the features of diseases more comprehensively, and has a function in a variety of malignancies. Recently, liquid biopsy has been shown to be critical in thyroid cancer diagnosis, treatment, and prognosis in numerous previous studies. In this review, by testing CTCs, ctDNA, and exosomes, we focus on the possible clinical role of liquid biopsy in thyroid cancer, including diagnostic and prognostic biomarkers and response to therapy. We briefly review how liquid biopsy components have progressed in thyroid cancer by consulting the existing public information. We also discuss the clinical potential of liquid biopsy in thyroid cancer and provide a reference for liquid biopsy research. Liquid biopsy has the potential to be a useful tool in the early detection, monitoring, or prediction of response to therapies and prognosis in thyroid cancer, with promising clinical applications.
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  • 文章类型: Journal Article
    甲状腺发育不全(THA)是一种罕见的,先天性异常定义为没有一个甲状腺叶,有或没有峡部。报告表明,在甲状腺功能减退症的地方性地区可能更常见。根据单卵双胞胎的发现,遗传异常被认为具有作用。大多数病例是零星的,然而,熟悉的集群也被记录下来。在女性中更常见。大多数患者报告没有症状,并且在检查期间或术中偶然发现了THA。THA通常与正常的甲状腺功能有关,但它可以表现为甲状腺功能减退。由于大多数患者无症状,没有具体的管理建议。使用tech或碘进行超声成像和甲状腺闪烁显像可用于诊断。当残余甲状腺叶需要切除导致终生需要补充甲状腺素时,其临床重要性就发生了。出版的英国文学(Medline,PubMed,和Embase数据库)进行了搜索。使用的医学主题词(MeSH)术语是“甲状腺发育不全”,一个甲状腺叶,\"和\"甲状腺发育不全\"。病例报告,案例系列,并选择了原始文章来为本次审查提供框架。回顾的文章发表在过去的20年。探讨了THA与甲状腺癌的相关性。在这个群体中,F:M比为3.25:1。左THA占病例的53%,右THA在29.4%,和峡部缺失的病例占17.6%。此外,作者研究了THA和甲状旁腺功能亢进之间的联系,在甲状旁腺功能亢进症亚组中,左THA和右THA的数量相等。在患有THA和Grave病的患者中,在大多数情况下(86.7%)可见左THA,而桥本甲状腺炎患者的左、右THA数量相等。此外,观察到与THA相关的先天性异常,在本亚组中,左侧THA占60%,右侧THA占40%.总结性审查提供了对流行病学的详细了解,病因,遗传学,症状学,诊断,通过结合来自世界各地的近百篇研究论文的发现和结果来治疗THA。THA仍然知之甚少,经常被偶然发现,正在接受其他甲状腺疾病调查和治疗的甲状腺功能正常患者的异常。
    Thyroid Hemiagenesis (THA) is an uncommon, congenital anomaly defined by the absence of one thyroid lobe with or without the isthmus. Reports suggest it may be found more often in regions endemic for hypothyroidism. Genetic abnormalities are thought to have a role based on findings in monozygotic twins. Most cases are sporadic, however familiar clusters have also been documented. It is found more frequently in females. A majority of patients report no symptoms and THA is found incidentally during investigations or intraoperatively. THA is usually associated with normal thyroid function, but it can present with thyroid hypofunction. Since a majority of patients are asymptomatic, there are no specific recommendations for management. Ultrasound imaging and thyroid scintigraphy using technetium or iodine are useful in diagnosis. Its clinical importance occurs when the remnant thyroid lobe requires excision leading to the lifelong requirement for thyroxine supplementation. Published English literature (Medline, PubMed, and Embase databases) was searched. Medical subject headings (MeSH) terms used were \"thyroid hemiagenesis,\" \"one thyroid lobe,\" and \"thyroid aplasia\". Case reports, case series, and original articles were selected to provide a framework for this review. Articles reviewed were published in the past 20 years. The association of THA with thyroid cancer was explored. In this group, the F:M ratio was 3.25:1. Left THA constituted 53% of cases, right THA in 29.4%, and isthmus absence in 17.6% of cases. Also, the authors investigated the link between THA and hyperparathyroidism, both left and right THA are seen in an equal number of cases in the hyperparathyroidism subgroup. In patients with THA and Grave\'s disease, left THA was seen in a majority of cases (86.7%), while an equal number of left and right THA was observed in patients with Hashimoto\'s thyroiditis. In addition, congenital abnormalities associated with THA were observed, the left THA was seen in 60% and right THA in 40% of cases of this subgroup. The summative review provided a detailed insight into the epidemiology, aetiopathogenesis, genetics, symptomatology, diagnosis, and treatment for THA by combining findings and results from almost a hundred research papers from around the world. THA remains a poorly understood, often incidentally detected, abnormality in euthyroid patients undergoing investigations and treatment for other thyroid disorders.
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  • 文章类型: Journal Article
    Thyroid diseases are characterized by a wide range of physical and mental symptoms that can affect biological function, emotional and social life of patients. However, their impact on work functioning is not yet fully understood. Therefore, this review aims to address the way in which thyroid diseases can affect occupational outcomes, i.e., the employment rate, sick leave, working capacity and work income of patients. A systematic review of Pubmed, Scopus and ISI Web of Knowledge databases has been performed. Although it is not possible to extrapolate precise data for benign pathologies, about a third of the survivors of thyroid cancer could be unemployed. Hyperthyroid and hypothyroid patients presented a greater risk of long-term sick leave than controls, depending on the severity of the disease. Hyperthyroidism impaired working ability in about a third of affected patients, particularly in cases complicated by orbitopathy with diplopia. A possible influence of thyroid diseases on various occupational outcomes emerged from our review, however further research seems necessary to understand the relationship between work problems, specific pathological characteristics over time and risk factors in the workplace. This may support a comprehensive, interdisciplinary management of thyroid disorders, with benefits for patients\' personal, social and professional life.
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