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Molecular Markers Guiding Thyroid Cancer Management.
Carolina Nylén1,2, Robert Mechera1,3, Isabella Maréchal-Ross4
1Endocrine Surgical Unit, Royal North Shore Hospital, Northern Sydney Local Health District, St. Leonards, NSW 2065, Australia.
Cancers
|August 8, 2020
Summary
Molecular markers are crucial for managing thyroid cancer (TC), aiding diagnosis and guiding targeted treatments for advanced cases. This review explores their impact across different TC types.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Thyroid cancer (TC) incidence is rising, largely due to overdiagnosis of differentiated TC.
- Molecular technologies offer insights into cancer's biological characteristics.
- Molecular markers are vital for TC diagnosis, prognosis, and identifying therapeutic targets.
Purpose of the Study:
- To review the molecular landscape of thyroid cancer.
- To discuss the impact of molecular markers on TC diagnosis, surveillance, and treatment.
Main Methods:
- Review of preclinical models and high-throughput molecular technologies.
- Analysis of gene expression microarrays.
- Examination of molecular markers in differentiated, poorly differentiated, and anaplastic TC.
Main Results:
- Molecular markers distinguish benign from malignant lesions and predict TC aggressiveness.
- In differentiated TC, markers guide management of indeterminate nodules.
- In advanced TC, markers enable targeted therapies, including tyrosine kinase inhibitors (TKIs).
Conclusions:
- Molecular markers are indispensable tools in modern thyroid cancer management.
- Targeted therapies based on molecular markers offer new hope for advanced TC.
- Understanding the molecular profile is key to personalized TC treatment strategies.
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