Chen Hongxi, Feng Tiecheng, Li Xinying, Wang Zhiming
Department of General Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Oct;39(10):1083-7. doi: 10.11817/j.issn.1672-7347.2014.10.017.
Poorly differentiated thyroid carcinoma (PDTC) is a special type of thyroid carcinoma, the morphology and biological behavior of which are between well-differentiated and undifferentiated (anaplastic) carcinomas. Currently, the diagnosis of PDTC mainly relies on the pathological standards. Although "Turin standards" is commonly used, there is no generally accepted diagnostic criteria. Surgery is still the main treatment for PDTC, but the adjuvant therapies are in dispute. Age, tumor node metastasis (TNM) stage and integrity of surgical of PDTC are major factors that affect the prognosis. The identification of eosinophilic phenotype (hurthle cells) of PDTC is important. Some common immunohistochemical and molecular biomarkers, such as the insulin-like growth factor II mRNA-binding protein 3 (IMP3), E-cadherin and proliferating protein Ki67, may be helpful for distinguishing PDTC from other thyroid carcinoma. With the progress in studies regarding molecular markers for PDTC and the clinical characters of PDTC patients with large samples, the diagnosis for PDTC will greatly improved and the pathogenesis for PDTC will be elucidated.
低分化甲状腺癌(PDTC)是一种特殊类型的甲状腺癌,其形态和生物学行为介于高分化癌和未分化(间变性)癌之间。目前,PDTC的诊断主要依靠病理标准。虽然“都灵标准”被普遍使用,但尚无公认的诊断标准。手术仍是PDTC的主要治疗方法,但辅助治疗存在争议。PDTC患者的年龄、肿瘤淋巴结转移(TNM)分期和手术完整性是影响预后的主要因素。PDTC嗜酸性细胞表型(许特耳细胞)的识别很重要。一些常见的免疫组化和分子生物标志物,如胰岛素样生长因子II mRNA结合蛋白3(IMP3)、E-钙黏蛋白和增殖蛋白Ki67,可能有助于将PDTC与其他甲状腺癌区分开来。随着关于PDTC分子标志物研究的进展以及大样本PDTC患者临床特征的研究,PDTC的诊断将得到极大改善,其发病机制也将得到阐明。