过甲状腺症的非典型儿科表现:CDC73基因突变和甲状腺癌
Emel Hatun Aytaç Kaplan1, Mehmet Çakmak2, M Banu Yilmaz Özgüven3
1Department of Pediatric Endocrinology, Basaksehir Cam ve Sakura City Hospital, İstanbul, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|August 23, 2025
概括
小儿甲状腺癌是罕见的. 早期基因检测CDC73突变的原发性甲状腺功能障碍 (PHP) 帮助诊断甲状腺功能障碍-瘤综合征 (HPT-JT) 和管理并发症.
科学领域:
- 儿童内分泌学
- 癌症学
- 遗传学
背景情况:
- 副甲状腺癌是一种罕见的原发性副甲状腺癌 (PHP),特别是在儿童中.
- 临床症状包括严重的高血症,骨折和骨痛.
- 诊断通常依赖于手术和组织病理学, 但基因检测越来越重要.
研究的目的:
- 报告一个小儿甲状腺癌病例.
- 强调基因检测在PHP和相关综合征的诊断中的作用.
- 强调早期发现对管理和监测的重要性.
主要方法:
- 一个10岁的女性患有疲劳,腿部疼痛和病态骨折的案例研究.
- 实验室检测显示高血症和副甲状腺症.
- 图像检测发现了副甲状腺病变;进行了手术和组织病理检查.
- 基因检测发现了致病性CDC73突变.
主要成果:
- 患者出现严重高血症和病态骨折的症状.
- 组织病理学证实了非典型的副甲状腺瘤和甲状腺增生.
- 基因分析发现了CDC73突变,表明甲状腺功能瘤综合征 (HPT-JT).
结论:
- 这一案例凸显了儿科PHP早期基因检测的重要性.
- 鉴定CDC73突变对于诊断HPT-JT至关重要.
- 及时诊断有助于对甲状腺癌和其他并发症进行干预,手术规划和监测.
相关概念视频
Cardiomyopathy III: Hypertrophic Cardiomyopathy
47
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
47
The Parathyroid Glands
2.5K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.5K
Tumor Progression
6.5K
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...
6.5K
Abnormal Proliferation
4.6K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.6K
Rous Sarcoma Virus (RSV) and Cancer
5.4K
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
5.4K
Chronic Kidney Disease II: Clinical Manifestations
87
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
87


