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Chapter category: Cancer Genetics

Thyroid Cancer

This chapter appears in the following book:

Translocations in Solid Tumors

Edited by: Colin Cooper
ISBN: 1-58706-033-7
» Get more information about this book at landesbioscience.com «

Chapter authors:
M. A. Pierotti, I. Bongarzone, M. G. Borrello, A. Greco, S. Pilotti and G. Sozzi

The thyroid gland manifests a wide spectrum of malignant neoplasms, including medullary thyroid carcinoma (MTC), which develop from the neural–crest derived C cells, and tumors originating from the epithelial follicular cells. The latter comprise several tumor types with different phenotypic characteristics and variable biological and clinical behaviour. Thyroid adenomas are, in fact, benign neoplasms, although part of them is capable of malignant growth and progression, whereas papillary and follicular carcinomas are the most common form of thyroid cancer. In spite of their common origin from the thyroid follicular cell, papillary and follicular carcinomas are regarded as different biological entities. The follicular carcinoma, solitary and encapsulated, is associated with endemic goiter, a diet with low iodine intake and metastatizes almost exclusively via the blood stream often to bones. The papillary carcinoma, on the contrary, is multifocal and associated with a previous radiation exposure, high iodine intake and metastatizes through lymphatic spread to regional lymph–nodes. Anaplastic or undifferentiated thyroid carcinomas are almost invariably fatal representing the most aggressive form of thyroid tumors.

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