Papillary Thyroid Cancer Prognosis: An Evolving Field

Over the last few years, a great advance has been made in the comprehension of the molecular pathogenesis underlying thyroid cancer progression, particularly for the papillary thyroid cancer (PTC), which represents the most common thyroid malignancy. Putative cancer driver mutations have been identi...

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Autores principales: Salvatore Ulisse, Enke Baldini, Augusto Lauro, Daniele Pironi, Domenico Tripodi, Eleonora Lori, Iulia Catalina Ferent, Maria Ida Amabile, Antonio Catania, Filippo Maria Di Matteo, Flavio Forte, Alberto Santoro, Piergaspare Palumbo, Vito D’Andrea, Salvatore Sorrenti
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Lenguaje:EN
Publicado: MDPI AG 2021
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TNM
Acceso en línea:https://doaj.org/article/55dd12b4951f49a08a6be3eedaf75e4d
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spelling oai:doaj.org-article:55dd12b4951f49a08a6be3eedaf75e4d2021-11-11T15:35:25ZPapillary Thyroid Cancer Prognosis: An Evolving Field10.3390/cancers132155672072-6694https://doaj.org/article/55dd12b4951f49a08a6be3eedaf75e4d2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5567https://doaj.org/toc/2072-6694Over the last few years, a great advance has been made in the comprehension of the molecular pathogenesis underlying thyroid cancer progression, particularly for the papillary thyroid cancer (PTC), which represents the most common thyroid malignancy. Putative cancer driver mutations have been identified in more than 98% of PTC, and a new PTC classification into molecular subtypes has been proposed in order to resolve clinical uncertainties still present in the clinical management of patients. Additionally, the prognostic stratification systems have been profoundly modified over the last decade, with a view to refine patients’ staging and being able to choose a clinical approach tailored on single patient’s needs. Here, we will briefly discuss the recent changes in the clinical management of thyroid nodules, and review the current staging systems of thyroid cancer patients by analyzing promising clinicopathological features (i.e., gender, thyroid auto-immunity, multifocality, PTC histological variants, and vascular invasion) as well as new molecular markers (i.e., BRAF/TERT promoter mutations, miRNAs, and components of the plasminogen activating system) potentially capable of ameliorating the prognosis of PTC patients.Salvatore UlisseEnke BaldiniAugusto LauroDaniele PironiDomenico TripodiEleonora LoriIulia Catalina FerentMaria Ida AmabileAntonio CataniaFilippo Maria Di MatteoFlavio ForteAlberto SantoroPiergaspare PalumboVito D’AndreaSalvatore SorrentiMDPI AGarticlethyroid cancersmolecular pathogenesisprognosistherapyTNMtumor molecular profilingNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5567, p 5567 (2021)
institution DOAJ
collection DOAJ
language EN
topic thyroid cancers
molecular pathogenesis
prognosis
therapy
TNM
tumor molecular profiling
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle thyroid cancers
molecular pathogenesis
prognosis
therapy
TNM
tumor molecular profiling
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Salvatore Ulisse
Enke Baldini
Augusto Lauro
Daniele Pironi
Domenico Tripodi
Eleonora Lori
Iulia Catalina Ferent
Maria Ida Amabile
Antonio Catania
Filippo Maria Di Matteo
Flavio Forte
Alberto Santoro
Piergaspare Palumbo
Vito D’Andrea
Salvatore Sorrenti
Papillary Thyroid Cancer Prognosis: An Evolving Field
description Over the last few years, a great advance has been made in the comprehension of the molecular pathogenesis underlying thyroid cancer progression, particularly for the papillary thyroid cancer (PTC), which represents the most common thyroid malignancy. Putative cancer driver mutations have been identified in more than 98% of PTC, and a new PTC classification into molecular subtypes has been proposed in order to resolve clinical uncertainties still present in the clinical management of patients. Additionally, the prognostic stratification systems have been profoundly modified over the last decade, with a view to refine patients’ staging and being able to choose a clinical approach tailored on single patient’s needs. Here, we will briefly discuss the recent changes in the clinical management of thyroid nodules, and review the current staging systems of thyroid cancer patients by analyzing promising clinicopathological features (i.e., gender, thyroid auto-immunity, multifocality, PTC histological variants, and vascular invasion) as well as new molecular markers (i.e., BRAF/TERT promoter mutations, miRNAs, and components of the plasminogen activating system) potentially capable of ameliorating the prognosis of PTC patients.
format article
author Salvatore Ulisse
Enke Baldini
Augusto Lauro
Daniele Pironi
Domenico Tripodi
Eleonora Lori
Iulia Catalina Ferent
Maria Ida Amabile
Antonio Catania
Filippo Maria Di Matteo
Flavio Forte
Alberto Santoro
Piergaspare Palumbo
Vito D’Andrea
Salvatore Sorrenti
author_facet Salvatore Ulisse
Enke Baldini
Augusto Lauro
Daniele Pironi
Domenico Tripodi
Eleonora Lori
Iulia Catalina Ferent
Maria Ida Amabile
Antonio Catania
Filippo Maria Di Matteo
Flavio Forte
Alberto Santoro
Piergaspare Palumbo
Vito D’Andrea
Salvatore Sorrenti
author_sort Salvatore Ulisse
title Papillary Thyroid Cancer Prognosis: An Evolving Field
title_short Papillary Thyroid Cancer Prognosis: An Evolving Field
title_full Papillary Thyroid Cancer Prognosis: An Evolving Field
title_fullStr Papillary Thyroid Cancer Prognosis: An Evolving Field
title_full_unstemmed Papillary Thyroid Cancer Prognosis: An Evolving Field
title_sort papillary thyroid cancer prognosis: an evolving field
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/55dd12b4951f49a08a6be3eedaf75e4d
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