Obara Takao
Department of Endocrine Surgery, Tokyo Women's Medical University.
Nihon Rinsho. 2007 Nov;65(11):2087-91.
Among 4 major traditional groups of thyroid carcinoma, papillary and follicular carcinomas are most common, and other forms, anaplastic and medullary carcinomas, are relatively rare. The 2003 WHO histological classification of thyroid tumor separated 7 other malignant thyroid tumors into distinct pathological entities, such as poorly differentiated, squamous cell, mucinous carcinomas, carcinoma showing thymus-like differentiation (CASTLE), etc. Although they are also extremely rare, recognition of their clinicopathologic features are very important. In this review, not only diagnostic and therapeutic strategies for the rare forms of thyroid carcinomas, specifically focussed on medullary carcinoma and CASTLE, but also their histogenetic abnormalities were discussed.
在甲状腺癌的4种主要传统类型中,乳头状癌和滤泡状癌最为常见,而其他类型,即未分化癌和髓样癌则相对罕见。2003年世界卫生组织甲状腺肿瘤组织学分类将其他7种恶性甲状腺肿瘤分为不同的病理实体,如低分化癌、鳞状细胞癌、黏液癌、具有胸腺样分化的癌(CASTLE)等。尽管它们也极为罕见,但认识其临床病理特征非常重要。在本综述中,不仅讨论了罕见类型甲状腺癌(特别是髓样癌和CASTLE)的诊断和治疗策略,还讨论了它们的组织发生异常。