Wang Yong, Wen Yi, Lin Shiyu, Wen Dan, Xie Jianping
Department of Nuclear Medicine, the Affiliated Hospital of North Sichuan Medical College, Nanchong, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2021 Feb 25;38(1):191-195. doi: 10.7507/1001-5515.202006040.
In recent years, with the improvement of the sensitivity of examination equipment and the change of people's living environment and diet, the rate of thyroid cancer has risen rapidly, which has increased nearly five folds in 10 years. The pathogenesis, clinical manifestation, biological behavior, treatment and prognosis of thyroid carcinoma of different pathological types are obviously different. Papillary thyroid carcinoma (PTC) can develop at any age, which accounts for about 90% of thyroid cancer. It progresses slowly and has favourable prognosis, but lymph node metastasis appears easily. Whether PTC is accompanied by lymph node metastasis has an important impact on its prognosis and outcome. The Raf murine sarcoma viral oncogene homolog B(BRAF)gene mutation plays a crucial role in PTC lymph node metastasis. Having an in-depth understanding of the specific role and mechanism of BRAF gene mutation in PTC is expected to provide new ideas for diagnosis and treatment of PTC.
近年来,随着检查设备灵敏度的提高以及人们生活环境和饮食的变化,甲状腺癌的发病率迅速上升,10年间增长了近5倍。不同病理类型的甲状腺癌在发病机制、临床表现、生物学行为、治疗及预后等方面存在明显差异。甲状腺乳头状癌(PTC)可发生于任何年龄,约占甲状腺癌的90%。其进展缓慢,预后良好,但容易出现淋巴结转移。PTC是否伴有淋巴结转移对其预后和转归有重要影响。丝裂原活化蛋白激酶(Raf)鼠肉瘤病毒癌基因同源物B(BRAF)基因突变在PTC淋巴结转移中起关键作用。深入了解BRAF基因突变在PTC中的具体作用及机制,有望为PTC的诊断和治疗提供新思路。