相关实验视频
Updated: Jun 20, 2026

08:16
Comparative Lesions Analysis Through a Targeted Sequencing Approach
Published on: November 5, 2019
6.8K
在一系列差异化甲状腺癌中比较细胞组织学遗传特征
Maria de Lurdes Matos1, Mafalda Pinto2, Marta Alves3,4
1Department of Endocrinology, Diabetes and Metabolismo, Centro Hospitalar Universitário de Lisboa Central, Hospital Curry Cabral, 1050-099 Lisbon, Portugal.
Diagnostics (Basel, Switzerland)
|February 10, 2024
概括
通过超声导向细针吸收细胞学 (US-FNAC) 对甲状腺结节的分子检测显示出与组织学的高度一致. 这种方法准确地预测了差异化甲状腺癌 (DTC) 和它们的行为,有助于手术决策.
科学领域:
- 在瘤学瘤学.
- 分子诊断学 分子诊断
- 内分泌学 在内分泌学.
背景情况:
- 分子测试可以改善甲状腺结节的术前诊断.
- 目前的分子测试是昂贵的,并不是普遍可用的.
研究的目的:
- 为了比较甲状腺结节的细胞组织学遗传特征.
- 评估使用US-FNAC用于诊断差异化甲状腺癌 (DTCs) 的分子测试的可靠性.
- 为了预测乳头甲状腺癌 (PTCs) 的生物行为.
主要方法:
- 来自259名患者的配对细胞组织学样本的分析.
- 使用PCR/桑格测序识别的遗传变化.
- 在PTC中,突变与临床病理特征的关联.
主要成果:
- 对基因突变的高细胞组织学一致性 (94.9%),包括在不确定的结节中95.7%的基因突变.
- 特定突变 (TERTp,BRAF,RAS) 显示了对DTCs的高诊断特异性.
- TERTp和BRAF突变与侵略性的PTC特征和瘤进展相关.
结论:
- 通过US-FNAC进行的分子分析准确地反映了遗传特征和瘤行为.
- 这种方法证实了恶性瘤,并有助于为甲状腺瘤做出手术转诊决定.
- 美国FNAC分子测试提供了一个可靠的,可能更容易获得的诊断工具.
相关概念视频
Cancers Originate from Somatic Mutations in a Single Cell
Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
Tumor Progression
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Adaptive Mechanisms in Cancer Cells
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Cancers Originate from Somatic Mutations in a Single Cell
Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
Distinctive Features of Adult Stem Cells vs Cancer Stem Cells
A stem cell is an unspecialized cell that can divide without limit as needed and can, under specific conditions, differentiate into specialized cells.
Adult stem cells
Adult stem cells are tissue-specific; hence, they divide to develop the tissue from which they originate. One type of adult stem cell is the epithelial stem cell, which gives rise to the keratinocytes in the multiple layers of epithelial cells in the epidermis of the skin. Adult bone marrow has three distinct types of stem cells:...
Adult stem cells
Adult stem cells are tissue-specific; hence, they divide to develop the tissue from which they originate. One type of adult stem cell is the epithelial stem cell, which gives rise to the keratinocytes in the multiple layers of epithelial cells in the epidermis of the skin. Adult bone marrow has three distinct types of stem cells:...

