摘要
近年来,甲状腺癌发病率呈上升趋势,尤其在女性中,是最常见的内分泌恶性肿瘤之一。大量关于甲状腺癌的分子生物学变异被发现和定义,许多分子标记物能为甲状腺癌的风险评估提供依据,并具有优化手术治疗的潜能,为甲状腺癌患者提供更好的预后管理。如甲状腺癌相关基因BRAF突变的研究最为广泛,另外许多研究也对RAS,RET/PTC,和PAX8/PPARγ等基因的诊断价值进行了充分的评估。数据显示,这些标记物具有重要的诊断价值,有利于肿瘤的诊断以及作为潜在的治疗靶标。这篇综述讨论了甲状腺癌中最常见的分子遗传学变异及其临床意义,并评估了其诊断和预后的应用价值。
Thyroid cancer is the most common type of endocrine malignancy and its incidence is steadily increasing,especially in women.In the recent years,a large number of molecular alterations in thyroid cancer has been discovered and characterized.The knowledge of molecular genetics and alterations known to occur in thyroid cancer has been expanded and found dramatically.Some molecular markers,such as the BRAF mutation has been studied most extensively,provide evidences in risk stratification and can be potentially used to optimize surgical and postsurgical management of patients with thyroid cancer.Moreover,several studies also demonstrated diagnostic utilities of RAS,RET/PTC,and PAX8/PPARγmutations.Some of these markers may have significant diagnostic utility,can be used for tumor prognostication,and serve as potential therapeutic targets.This review discusses the most common molecular alterations in thyroid cancer and clinical significance,such as diagnostic and prognostic utility.
出处
《武汉大学学报(医学版)》
CAS
2016年第1期167-172,共6页
Medical Journal of Wuhan University
基金
武汉大学自主科研项目(编号:2042015kf0111)