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[家族性非髓样甲状腺癌]

[Familial nonmedullary thyroid cancer].

作者信息

Sugino K, Mimura T, Ito K, Ito K

机构信息

Ito Hospital.

出版信息

Nihon Rinsho. 2000 Jul;58(7):1519-22.

Abstract

Familial occurrence of nonmedullary thyroid carcinoma is rare but this has been increasingly recognized over the recent years. Epidemiological studies showed that relatives of thyroid cancer cases were at increased risk of the same site. Surveying published familial cases, there were two groups of familial thyroid carcinoma; groups related to other familial diseases(familial adenomatous polyposis FAP, Gardner's syndrome, Cowden's disease) and another independent of accompanying disease. Familial thyroid carcinomas independent of accompanying disease were reported aggressive features and several authors recommended aggressive treatments. Genetic bases has not been clearly elucidated identification of genetic defects should undoubtedly aid an understanding of pathogenesis of sporadic cases.

摘要

非髓样甲状腺癌的家族性发病较为罕见,但近年来已越来越受到认可。流行病学研究表明,甲状腺癌患者的亲属在同一部位发病的风险增加。在对已发表的家族性病例进行调查时,发现有两组家族性甲状腺癌;一组与其他家族性疾病(家族性腺瘤性息肉病FAP、加德纳综合征、考登病)相关,另一组则与伴随疾病无关。据报道,与伴随疾病无关的家族性甲状腺癌具有侵袭性特征,几位作者建议采取积极的治疗方法。其遗传基础尚未明确阐明,确定基因缺陷无疑将有助于理解散发性病例的发病机制。

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