使用免疫球蛋白G4免疫组织化学用于患有与哈希莫托甲状腺炎相关的乳头甲状腺癌患者的风险分层
Faridul Haq1,2, Gyeongsin Park3, Sora Jeon2
1Department of Biomedicine and Health Sciences, The Catholic University of Korea, Seoul, Korea.
Endocrinology and metabolism (Seoul, Korea)
|May 20, 2024
概括
在乳头甲状腺癌 (PTC) 患者中,与免疫球蛋白G4 (IgG4) 相关疾病相关的哈西莫托甲状腺炎 (HT) 与更高的复发风险相关. 根据IgG4状态对HT进行分层,可以改善PTC患者的风险评估,帮助治疗决策.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 哈西莫托甲状腺炎 (HT) 是一种可疑的状甲状腺癌 (PTC) 发展的因素.
- 对于HT在PTC进展中的作用,特别是其与免疫球蛋白G4 (IgG4) 相关疾病的关联,尚不清楚.
研究的目的:
- 调查HT,IgG4相关疾病和PTC复发之间的关系.
- 根据HT和IgG4状态对PTC复发风险进行分层.
主要方法:
- 对426名接受甲状腺切除术的成年PTC患者进行横截面研究.
- 组织学识别HT和IgG4/IgG免疫组织化学.
- 深度学习模型用于量化IgG4阳性血细胞;瘤复发的评估.
主要成果:
- 在426名PTC患者中,79人患有HT;其中53%的人符合IgG4相关疾病的标准.
- 与IgG4相关的HT子组显示癌症更为晚期.
- 与非HT和IgG4无关的HT组相比,IgG4相关的HT患者的无复发生存率明显较低.
结论:
- 在PTC患者中,HT状态和IgG4相关亚型有效地分层了复发风险.
- 这些发现支持基于HT和IgG4相关疾病分类的PTC量身定制的治疗策略.
相关概念视频
Hyperthyroidism I: Introduction
30
Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
30
Hyperthyroidism II: Pathophysiology
28
Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH...
28
Graves' Disease I: Introduction
23
Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence...
23
Graves Disease II: Pathophysiology
26
Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor,...
26


