BRAFV600E突变与甲状腺乳头状癌临床病理特征及不良预后的相关性

Relationship between BRAFV600E mutation and pathological features and clinical poor prognosis of PTC

  • 摘要: 甲状腺癌在内分泌系统的恶性肿瘤中最为常见,按组织学分类分为甲状腺滤泡癌、甲状腺乳头状癌(PTC)、甲状腺髓样癌及甲状腺未分化癌,其中PTC最为常见。目前认为PTC的最佳治疗方案是手术切除、131I治疗及甲状腺激素替代抑制治疗,但小部分患者会发生肿瘤复发或转移,10年生存率显著下降40%~85%。不同的临床病理学特征,如淋巴结转移、甲状腺外侵袭和TNM分期等将出现不同的预后(复发、转移和死亡等)情况。因此,上述临床病理学特征也被用于预测PTC患者的预后情况,能尽早辨识此类风险因素,将争取更多时间进行相应的干预治疗并改善预后。笔者就BRAFV600E突变与PTC患者的临床病理学特征及预后情况的关系展开综述。

     

    Abstract: Thyroid cancer is the most common malignant tumor in the endocrine system, which can be divided into follicular thyroid cancer, papillary thyroid cancer (PTC), medullary thyroid carcinoma and anaplastic thyroid carcinoma. Among them, PTC is the most common pathological subtype. At present, surgical resection, 131I therapy and thyroid hormone replacement inhibition therapy are considered as the best treatments for PTC, but a small part of patients will undergo tumor recurrence or metastasis and their 10 years survival rate will be significantly reduced by 40% ~ 85%. Different clinical pathological features, such as lymph node metastasis, extrathyroid invasion, TNM stage will cause different prognosises (recurrence, metastasis, death, etc.). Therefore, the clinicopathological features above are also used to predict the prognosis of patients with PTC, and identifying such risk factors as soon as possible will buy more time for appropriate intervention and treatment to improve the prognosis. This paper reviews the relationship between BRAFV600E mutation and the clinicopathological features above and clinical poor prognosis of patients with PTC.

     

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