儿科的生物行为比成年人状甲状腺癌更具侵略性
Bin Zhou1, Hu Hei1, Jugao Fang2
1Department of Thyroid and Neck, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.
Asian journal of surgery
|October 7, 2023
概括
与成人相比,儿科乳头甲状腺癌 (PTC) 通常呈现为更先进的疾病,具有更大的瘤和更高的转移率. 然而,儿科患者表现出较低的BRAF突变率和较少的哈希莫托甲状腺炎.
科学领域:
- 内分泌学 在内分泌学.
- 儿科瘤学 儿科瘤学
- 手术瘤学手术瘤学
背景情况:
- 乳头甲状腺癌 (PTC) 是儿童和青少年的一种显著的内分泌恶性瘤.
- 了解PTC呈现的年龄相关差异对于有效治疗至关重要.
研究的目的:
- 为了比较诊断为乳头甲状腺癌的儿科和成人患者的临床特征.
- 确定这些年龄组之间的瘤行为和遗传突变的关键差异.
主要方法:
- 对360名PTC患者 (52名儿科,308名成人) 的回顾性分析,这些患者在2017-2022年期间接受了甲状腺手术.
- 对临床病理学数据和瘤特征进行比较统计分析.
主要成果:
- 儿科PTC患者的平均瘤直径显著增加 (26.21毫米对11.62毫米).
- 儿童和青少年的中枢和侧侧淋巴结转移,囊入侵和甲状腺外延伸的比率更高.
- 相反,儿科组的BRAFV600E突变率较低,和哈希莫托的甲状腺炎的发病率较低.
结论:
- 儿科PTC患者经常出现晚期疾病,其特征是较大的瘤和更广泛的局部和节点传播.
- 在儿童中较低的BRAF突变率和哈西莫托氏甲状腺炎的发病率需要进一步调查.
- 量身定制的外科手术和综合治疗策略对于儿科PTC管理至关重要.
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