TERT genetic polymorphism is associated with an aggressive manifestation of papillary thyroid carcinoma.

Front Surg

Department of Thyroid Surgery, Institute of Cancer Research and Basic Medical Sciences of Chinese Academy of Sciences, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.

Published: January 2023

Objectives: genetic polymorphism is commonly found in human malignancies, indicating its key role in cancer cell transformation. The aim of this study is to investigate the effects of the functional genetic polymorphism on the outcomes of papillary thyroid carcinoma (PTC) patients.

Materials And Methods: We performed a retrospective study on the relationship between and clinicopathological outcomes of PTC in 500 patients (378 females and 122 males) aged 43.8 ± 11.4 years (range 15-74 years) with a median follow-up of 60 months (range, 1-455 months).

Results: genetic polymorphism (TG/GG vs. TT) was significantly associated with several high-risk clinicopathological features such as tumor spread, extrathyroidal extension, central/lateral lymph node metastases, and Stage T III or IV disease. However, in Kaplan-Meier survival analyses, the mutation was unrelated to overall disease-free survival with a log-rank value of  > 0.05. In Cox-regression analyses, the overall survival rate of recurrence/neo-metastasis was related to a larger tumor size, younger age, and tumor spread but unrelated to the mutation.

Conclusions And Significance: genetic polymorphism mutation is more likely to manifest with aggressive clinicopathological characteristics but cannot worsen prognosis in PTC.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871626PMC
http://dx.doi.org/10.3389/fsurg.2022.1019180DOI Listing

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