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Updated: Jul 7, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
Somatic mutations in the RET proto-oncogene in sporadic medullary thyroid carcinomas
S Dvorakova1, E Vaclavikova, V Sykorova
1Department of Molecular Endocrinology, Institute of Endocrinology, Prague, Czech Republic. sarka@obloha.cz
Abstract:
The frequency and prognostic relevance of RET proto-oncogene somatic mutations in sporadic medullary thyroid carcinoma (MTC) remain controversial. In order to study somatic mutations in the RET proto-oncogene in sporadic MTCs found in the Czech population and to correlate these mutations with clinical and pathological characteristics, we investigated 48 truly sporadic MTCs by sequencing classical risk exons 10, 11, 13, 14, 15 and 16. From the 48 tumors studied, 23 (48%) had somatic mutation in the RET proto-oncogene in exons 10, 11, 15 or 16. The classical somatic mutation Met918Thr in exon 16 was only found in 13 tumors (27%). In five cases, multiple somatic mutations and deletions were detected. A statistically significant correlation between the presence of somatic mutation with more advanced pathological TNM stages was observed. Other clinical and pathological characteristics did not show any statistical significant association with the presence or absence of somatic mutation.
Insights
Somatic RET proto-oncogene mutations are common in sporadic medullary thyroid carcinoma (MTC). These mutations correlate with advanced pathological TNM stages, suggesting prognostic relevance.
Area of Science:
- Oncology
- Genetics
- Pathology
Background:
- The role of RET proto-oncogene mutations in sporadic medullary thyroid carcinoma (MTC) is debated.
- Understanding these mutations is crucial for diagnosis and treatment strategies.
Purpose of the Study:
- To investigate the frequency of RET proto-oncogene somatic mutations in sporadic MTC within the Czech population.
- To correlate these mutations with clinical and pathological characteristics of the tumors.
Main Methods:
- Sequencing of classical risk exons (10, 11, 13, 14, 15, 16) in 48 sporadic MTC samples.
- Analysis of mutation presence and correlation with TNM staging and other pathological features.
Main Results:
- Somatic RET proto-oncogene mutations were identified in 48% (23/48) of sporadic MTCs.
- The common Met918Thr mutation was found in 27% (13/48) of cases.
- A significant association was observed between somatic mutations and more advanced pathological TNM stages.
Conclusions:
- Somatic RET proto-oncogene mutations are frequently found in sporadic MTC.
- The presence of these mutations is linked to advanced pathological staging, indicating potential prognostic value.
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