Prognostic factors in thyroid carcinomas

Verh Dtsch Ges Pathol. 1997;81:82-96.

Abstract

The AA review the so-called prognostic factors in thyroid carcinoma taking in consideration four of the five major histotypes of thyroid tumours: Papillary ca. (5-year-survival -91%), follicular ca. (73%), poorly differentiated ca. (48%) and undifferentiated ca. (0%), with an emphasis on papillary carcinoma. The prognostic factors are described in two major groups: Clinicopathologic factors comprising the classic clinicopathologic features--age, gender, size, extrathyroidal extension, vascular invasion, nodal metastization and distant metastization--and Biologic factors, comprising a group of heterogeneous and less classic features such as DNA content and proliferation markers, oncogenes and tumour-suppressor genes, growth factors and growth factor receptors, pro- and anti-apoptotic genes, mucin and histo-blood group antigens, cytoskeletal filaments, adhesion molecules, and so forth. Finally, the AA address briefly a third group of (prognostic) factors that reflect the interaction between the neoplastic cells and their microenvironment: extracellular matrix and proteolytic enzymes (laminin, collagen IV, fibronectin, collagenases, alpha-1 anti-trypsin) and lymphocytic infiltration (S-100 positive cells, IGF-I and IGF-I receptor).

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adenocarcinoma, Follicular / genetics
  • Adenocarcinoma, Follicular / mortality
  • Adenocarcinoma, Follicular / pathology*
  • Age Factors
  • Biomarkers
  • Carcinoma, Papillary / genetics
  • Carcinoma, Papillary / mortality
  • Carcinoma, Papillary / pathology*
  • DNA, Neoplasm / analysis
  • Female
  • Genes, Tumor Suppressor
  • Humans
  • Male
  • Oncogenes
  • Prognosis
  • Sex Factors
  • Survival Rate
  • Thyroid Neoplasms / genetics
  • Thyroid Neoplasms / mortality
  • Thyroid Neoplasms / pathology*

Substances

  • Biomarkers
  • DNA, Neoplasm