Ramkumar Subramaniam, Sivanandham Shanthakumari
Pathology, Woodland Hospital, Shillong, IND.
Pathology, PSG Institute of Medical Sciences & Research, Coimbatore, IND.
Cureus. 2021 Dec 10;13(12):e20339. doi: 10.7759/cureus.20339. eCollection 2021 Dec.
Newer diagnostic modalities have revolutionized the pathologist's approach to diagnosing thyroid malignancies. Molecular characterization of these malignancies has helped circumvent common morphologic diagnostic difficulties by integrating their genotypic, phenotypic, and immunohistochemical features. V600E mutation has been characterized as highly specific for thyroid carcinoma, especially papillary thyroid carcinoma (PTC); human bone marrow endothelial marker-1 (HBME-1) and galectin-3 are also such markers that are highly specific for PTC. We propose to study HBME-1 and galectin-3 expression and V600E mutation in thyroid neoplasms and do a comparative analysis to determine whether there is a correlation between V600E expression and that of HBME-1 and galectin-3. We further propose to analyze the individual and combined diagnosed utility of the above-mentioned ancillary diagnostic techniques.
更新的诊断方法彻底改变了病理学家诊断甲状腺恶性肿瘤的方式。通过整合这些恶性肿瘤的基因型、表型和免疫组化特征,对其进行分子特征分析有助于规避常见的形态学诊断难题。V600E突变已被确定为对甲状腺癌具有高度特异性,尤其是对乳头状甲状腺癌(PTC);人骨髓内皮标志物-1(HBME-1)和半乳糖凝集素-3也是对PTC具有高度特异性的标志物。我们建议研究甲状腺肿瘤中HBME-1和半乳糖凝集素-3的表达以及V600E突变,并进行比较分析,以确定V600E表达与HBME-1和半乳糖凝集素-3的表达之间是否存在相关性。我们还建议分析上述辅助诊断技术的个体诊断效用和联合诊断效用。