Radiation-Associated Small Cell Neuroendocrine Carcinoma of the Thyroid: A Case Report with Molecular Analyses
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Mussazhanova, ZhannaMiura, Shiro
Stanojević, Boban
Rougounovitch, Tatiana
Saenko, Vladimir
Shiraishi, Toshio
Kurashige, Tomomi
Shichijo, Kazuko
Kaneko, Kenichi
Takahashi, Haruo
Ito, Masahiro
Nakashima, Masahiro
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Background: Neuroendocrine tumor (NET) of the thyroid other than medullary carcinoma is extremely rare. We describe here a case of calcitonin-negative small cell neuroendocrine carcinoma (SCNEC), which occurred in a thyroid gland that had previously been irradiated at high dose (60Gy) for pharyngeal cancer, with molecular analyses for follicular cell origin. Patient Findings: The tumor cells were small with fine chromatin, inconspicuous nucleoli, and inapparent cytoplasm, and showed neuroendocrine architectures such as palisading, rosettes, and trabeculae. Mitotic figures were numerous exceeding 10 mitoses per 10 high-power fields. The tumor cells invaded into several vessels and metastasized to regional lymph nodes. Immunohistochemically, the tumor cells were strongly positive for neuroendocrine markers and thyroglobulin (Tg), a marker of thyroid follicular cells but negative for calcitonin and carcinoembryonic antigen (CEA). Expression of Tg and thyrotropin receptor (TSHR) were confi...rmed by quantitative real-time polymerase chain reaction (RT-PCR). Ki-67 labeling index was more than 70% in the tumor cells. Taken together, the tumor was diagnosed as SCNEC of the thyroid. Genetic analyses also revealed microsatellite abnormalities of the phosphatase and tensin homolog (PTEN) gene, suggesting that functional loss of PTEN contributes to carcinogenesis. Conclusions: This is the first report describing a SCNEC of the thyroid with molecular analyses that provide evidence for a follicular epithelial origin.
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Thyroid, 2014, 24, 3, 593-598Funding / projects:
- Nagasaki University Global Center of Excellence (COE) program Global Strategic Center for Radiation Health Risk Control, Japanese Ministry of Education, Science, Sports and Culture [18590334]
DOI: 10.1089/thy.2013.0214
ISSN: 1050-7256; 1557-9077
PubMed: 23844610
WoS: 000332394500023
Scopus: 2-s2.0-84896757715
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VinčaTY - JOUR AU - Mussazhanova, Zhanna AU - Miura, Shiro AU - Stanojević, Boban AU - Rougounovitch, Tatiana AU - Saenko, Vladimir AU - Shiraishi, Toshio AU - Kurashige, Tomomi AU - Shichijo, Kazuko AU - Kaneko, Kenichi AU - Takahashi, Haruo AU - Ito, Masahiro AU - Nakashima, Masahiro PY - 2014 UR - https://vinar.vin.bg.ac.rs/handle/123456789/5911 AB - Background: Neuroendocrine tumor (NET) of the thyroid other than medullary carcinoma is extremely rare. We describe here a case of calcitonin-negative small cell neuroendocrine carcinoma (SCNEC), which occurred in a thyroid gland that had previously been irradiated at high dose (60Gy) for pharyngeal cancer, with molecular analyses for follicular cell origin. Patient Findings: The tumor cells were small with fine chromatin, inconspicuous nucleoli, and inapparent cytoplasm, and showed neuroendocrine architectures such as palisading, rosettes, and trabeculae. Mitotic figures were numerous exceeding 10 mitoses per 10 high-power fields. The tumor cells invaded into several vessels and metastasized to regional lymph nodes. Immunohistochemically, the tumor cells were strongly positive for neuroendocrine markers and thyroglobulin (Tg), a marker of thyroid follicular cells but negative for calcitonin and carcinoembryonic antigen (CEA). Expression of Tg and thyrotropin receptor (TSHR) were confirmed by quantitative real-time polymerase chain reaction (RT-PCR). Ki-67 labeling index was more than 70% in the tumor cells. Taken together, the tumor was diagnosed as SCNEC of the thyroid. Genetic analyses also revealed microsatellite abnormalities of the phosphatase and tensin homolog (PTEN) gene, suggesting that functional loss of PTEN contributes to carcinogenesis. Conclusions: This is the first report describing a SCNEC of the thyroid with molecular analyses that provide evidence for a follicular epithelial origin. T2 - Thyroid T1 - Radiation-Associated Small Cell Neuroendocrine Carcinoma of the Thyroid: A Case Report with Molecular Analyses VL - 24 IS - 3 SP - 593 EP - 598 DO - 10.1089/thy.2013.0214 ER -
@article{ author = "Mussazhanova, Zhanna and Miura, Shiro and Stanojević, Boban and Rougounovitch, Tatiana and Saenko, Vladimir and Shiraishi, Toshio and Kurashige, Tomomi and Shichijo, Kazuko and Kaneko, Kenichi and Takahashi, Haruo and Ito, Masahiro and Nakashima, Masahiro", year = "2014", abstract = "Background: Neuroendocrine tumor (NET) of the thyroid other than medullary carcinoma is extremely rare. We describe here a case of calcitonin-negative small cell neuroendocrine carcinoma (SCNEC), which occurred in a thyroid gland that had previously been irradiated at high dose (60Gy) for pharyngeal cancer, with molecular analyses for follicular cell origin. Patient Findings: The tumor cells were small with fine chromatin, inconspicuous nucleoli, and inapparent cytoplasm, and showed neuroendocrine architectures such as palisading, rosettes, and trabeculae. Mitotic figures were numerous exceeding 10 mitoses per 10 high-power fields. The tumor cells invaded into several vessels and metastasized to regional lymph nodes. Immunohistochemically, the tumor cells were strongly positive for neuroendocrine markers and thyroglobulin (Tg), a marker of thyroid follicular cells but negative for calcitonin and carcinoembryonic antigen (CEA). Expression of Tg and thyrotropin receptor (TSHR) were confirmed by quantitative real-time polymerase chain reaction (RT-PCR). Ki-67 labeling index was more than 70% in the tumor cells. Taken together, the tumor was diagnosed as SCNEC of the thyroid. Genetic analyses also revealed microsatellite abnormalities of the phosphatase and tensin homolog (PTEN) gene, suggesting that functional loss of PTEN contributes to carcinogenesis. Conclusions: This is the first report describing a SCNEC of the thyroid with molecular analyses that provide evidence for a follicular epithelial origin.", journal = "Thyroid", title = "Radiation-Associated Small Cell Neuroendocrine Carcinoma of the Thyroid: A Case Report with Molecular Analyses", volume = "24", number = "3", pages = "593-598", doi = "10.1089/thy.2013.0214" }
Mussazhanova, Z., Miura, S., Stanojević, B., Rougounovitch, T., Saenko, V., Shiraishi, T., Kurashige, T., Shichijo, K., Kaneko, K., Takahashi, H., Ito, M.,& Nakashima, M.. (2014). Radiation-Associated Small Cell Neuroendocrine Carcinoma of the Thyroid: A Case Report with Molecular Analyses. in Thyroid, 24(3), 593-598. https://doi.org/10.1089/thy.2013.0214
Mussazhanova Z, Miura S, Stanojević B, Rougounovitch T, Saenko V, Shiraishi T, Kurashige T, Shichijo K, Kaneko K, Takahashi H, Ito M, Nakashima M. Radiation-Associated Small Cell Neuroendocrine Carcinoma of the Thyroid: A Case Report with Molecular Analyses. in Thyroid. 2014;24(3):593-598. doi:10.1089/thy.2013.0214 .
Mussazhanova, Zhanna, Miura, Shiro, Stanojević, Boban, Rougounovitch, Tatiana, Saenko, Vladimir, Shiraishi, Toshio, Kurashige, Tomomi, Shichijo, Kazuko, Kaneko, Kenichi, Takahashi, Haruo, Ito, Masahiro, Nakashima, Masahiro, "Radiation-Associated Small Cell Neuroendocrine Carcinoma of the Thyroid: A Case Report with Molecular Analyses" in Thyroid, 24, no. 3 (2014):593-598, https://doi.org/10.1089/thy.2013.0214 . .