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单个BRAFV600E突变与青少年和儿科乳头甲状腺癌的攻击性生物学行为无关
Bin Zhou1, Xiaoyu Lu2, Hu Hei1
1Department of Thyroid and Neck, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.
Cancer cytopathology
|July 31, 2023
概括
BRAFV600E基因突变发生在超过一半的儿科乳头甲状腺癌病例中,但与瘤的攻击性行为没有显著的相关性. 需要进一步的研究来确定其在治疗决策中的临床意义.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
- 儿科医学 儿科医学
背景情况:
- 乳头甲状腺癌在儿科患者中表现出比成人更具攻击性的行为.
- 研究像BRAFV600E这样的基因突变对于了解儿科甲状腺癌至关重要.
- 需要澄清BRAFV600E突变在年轻患者的侵略性病理中的作用.
研究的目的:
- 为了确定儿科乳头甲状腺癌中BRAFV600E基因的突变率.
- 分析BRAFV600E基因突变与儿童和青少年的侵略性病理因素之间的关联.
主要方法:
- 在2017年至2022年期间治疗的42名患有乳头甲状腺癌的儿科患者的回顾性分析.
- 在瘤样本中评估了BRAFV600E基因突变状态.
- 分析了BRAFV600E突变与瘤侵略性的临床病理因素之间的相关性.
主要成果:
- 在小儿甲状腺 papillary 癌症中,BRAFV600E 突变率为 54.76% (23/42).
- BRAFV600E突变与远程转移的减少 (p=0.013) 和较少的哈西莫托甲状腺炎 (p=0.006) 相关.
- 在BRAFV600E突变与其他侵略性因素 (如瘤大小,囊入侵或淋巴结转移) 之间没有发现显著的关联.
结论:
- BRAFV600E突变在儿科 papillary 甲状腺癌中很常见,但与显著的攻击性行为无关.
- 仅仅依靠BRAFV600E突变状态不足以指导积极的诊断或治疗策略.
- 需要进一步的研究,以充分理解BRAFV600E突变在儿科甲状腺癌管理中的影响.
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