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Prevalence of Mutation in Follicular Variant of Papillary Thyroid Carcinoma and Non-Invasive Follicular Tumor with Papillary-Like Nuclear Features (NIFTP) in a Prevalent Area. | LitMetric

AI Article Synopsis

Article Abstract

Background: mutation status and prevalence of non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) has not yet been reported in Korea. The aim of this study was to investigate the significance of the mutation in the follicular variant of papillary thyroid carcinoma (FVPTC) and to determine the prevalence of NIFTP in mutation-prevalent Korean patients.

Methods: This study retrospectively analyzed 1,417 consecutive patients who underwent total thyroidectomy with routine prophylactic central lymph node dissection for papillary thyroid carcinoma (PTC). mutation analysis was performed routinely using multiplex polymerase chain reaction by applying dual priming oligonucleotide. Clinicopathological characteristics and ultrasonographic findings were compared between mutation-positive and -negative groups for FVPTC. Pathologists reviewed the pathology slides according to consensus diagnostic criteria for the encapsulated FVPTC and NIFTP.

Results: The prevalence of the mutation in all subtypes of PTC was 61.0% (861/1,411). FVPTC presented a mutation rate of 27.3%. The FVPTC patients with mutation were older than those with no mutation ( = 0.021). The prevalence of NIFTP was 0.18% among all PTC patients (2/1,411) and the proportion of NIFTP among FVPTC was 9.1% (2/22).

Conclusion: The mutation is prevalent in Korean patients with FVPTC in a region with high frequency of the mutation and very low prevalence of NIFTP compared with that reported in western studies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021356PMC
http://dx.doi.org/10.3346/jkms.2018.33.e75DOI Listing

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