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Open AccessJournal ArticleDOI

Utility of BRAF V600E mutation detection in cytologically indeterminate thyroid nodules

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TLDR
When used with indeterminate FNA samples, BRAF mutation analysis may be a useful adjunct technique for confirming the diagnosis of malignancy in an otherwise equivocal case, however, overall tumor cell content of some archival FNA smear slides is a limiting factor for mutation detection.
Abstract
Fine needle aspiration (FNA) is widely utilized for evaluation of patients with thyroid nodules. However, approximately 30% are indeterminate for malignancy. Recently, a mutation in the BRAF gene has been reported to be the most common genetic event in papillary thyroid carcinoma (PTC). In this retrospective study, we assessed the utility of BRAF V600E mutation detection for refining indeterminate preoperative cytologic diagnoses in patients with PTC.

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Journal ArticleDOI

BRAF mutation in papillary thyroid cancer: pathogenic role, molecular bases, and clinical implications.

TL;DR: It has become clearer that BRAF mutation will likely have significant impact on the clinical management of PTC and new mitogen extracellular kinase (MEK) inhibitors developed recently are particularly promising therapeutic agents for thyroid cancer.
Journal ArticleDOI

Molecular diagnostics and predictors in thyroid cancer

TL;DR: Testing for cancer-specific mutations in thyroid FNA samples and surgically removed tumor tissues increases diagnostic accuracy of FNA cytology and offers better prognostication of thyroid cancer.
Journal ArticleDOI

Molecular analysis of thyroid tumors

TL;DR: This review discusses major molecular alterations known to occur in thyroid cancer, focusing on those markers that have been extensively characterized, carry clinical significance, and are being introduced into pathology practice.
Journal ArticleDOI

Molecular Testing for Somatic Mutations Improves the Accuracy of Thyroid Fine-needle Aspiration Biopsy

TL;DR: Genetic testing for somatic mutations in thyroid FNABiopsy samples is feasible and identifies a subset of malignant thyroid neoplasms that are indeterminate or suspicious on FNA biopsy.
References
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Journal ArticleDOI

Cancer Statistics, 2004

TL;DR: The American Cancer Society estimated the number of new cancer cases and deaths expected in the United States in the current year and compiles the most recent data on cancer incidence, mortality, and survival rates based on incidence data from National Cancer Institute and mortality data from the National Center for Health Statistics.
Journal Article

High prevalence of BRAF mutations in thyroid cancer: genetic evidence for constitutive activation of the RET/PTC-RAS-BRAF signaling pathway in papillary thyroid carcinoma.

TL;DR: It is shown that a somatic mutation of BRAF, V599E, is the most common genetic change in PTCs, and represents a unique paradigm of human tumorigenesis through mutation of three signaling effectors lying in tandem.
Journal ArticleDOI

Fine-Needle Aspiration Biopsy of the Thyroid: An Appraisal

TL;DR: The utility and limitations of fine-needle aspiration biopsy in the evaluation and management of thyroid nodules are examined by reviewing studies reported in the literature from 1982 to 1991 and using 12 years of experience with more than 11 000 biopsies to offer a reasoned approach to the management of nodular thyroid disease.
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