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Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Hereditary non-medullary thyroid cancer.
1Department of Surgery, University of California, San Francisco, 1600 Divisadero Street C-342, San Francisco, CA 94143, USA. kebebewe@surgery.ucsf.edu
World Journal of Surgery
|December 7, 2007
Summary
Hereditary non-medullary thyroid cancer (HNMTC) accounts for 5% of thyroid cancers. Early detection and aggressive treatment are crucial due to its aggressive nature and shorter disease-free survival.
Area of Science:
- Oncology
- Genetics
- Endocrinology
Background:
- Hereditary non-medullary thyroid cancer (HNMTC) comprises an estimated 5% of all non-medullary thyroid cancers.
- A family history of three or more affected first-degree relatives suggests a high probability (>94%) of HNMTC.
- While specific susceptibility genes remain unidentified, epidemiological data strongly indicate a hereditary predisposition.
Purpose of the Study:
- To review the current understanding of hereditary non-medullary thyroid cancer (HNMTC).
- To discuss clinical screening strategies for at-risk families.
- To highlight the aggressive nature and management of HNMTC.
Main Methods:
- Literature review of epidemiological studies and kindreds reporting hereditary thyroid cancer.
- Analysis of clinical characteristics and outcomes in HNMTC.
- Discussion of current and potential future management strategies.
Main Results:
- HNMTC is associated with more aggressive disease compared to sporadic cases, including higher rates of multicentricity, lymph node metastasis, and extrathyroidal invasion.
- Disease-free survival is shorter in HNMTC patients, although mortality differences are not yet demonstrated.
- Aggressive screening and treatment may improve outcomes for affected kindred members.
Conclusions:
- Comprehensive family history is essential for identifying at-risk individuals for HNMTC.
- The optimal screening method (neck examination vs. ultrasound) for at-risk families requires further clarification.
- Aggressive surgical and postoperative medical therapies are warranted for HNMTC, with molecular approaches potentially identifying causative genes in the future.
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