Yıl: 2016 Cilt: 43 Sayı: 3 Sayfa Aralığı: 460 - 467 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri

Öz:
Amaç: Graves' hastalığı otoimmün bir tiroid hastalığıdır. Eş zamanlı primer tiroid maligniteleri ile Graves' hastalığı birlikteliği, giderek artan bir sıklıkta bildirilmektedir. Çalışmanın amacı laboratuarımızda incelenen Graves' hastalığına sahip olguların tiroidektomi materyallerinde tiroid malignitesi sıklığını araştırmaktır.Yöntemler: 2010-2016 yılları arasında Recep Tayyip Erdoğan Üniversitesi Eğitim ve Araştırma Hastanesi Patoloji Laboratuarı'na Graves' hastalığı nedeni ile gönderilen kırk (40) adet tiroidektomi materyaline ait preparat örnekleri yeniden incelendi.Bulgular: Kırk adet tiroidektomi materyalinin 11 (%27,5) tanesinde malignite saptandı. Malignitelerin tümü papiller karsinomdu. Makroskopik ya da mikroskopik olarak nodüle sahip Graves hastalıklı olgularda malignite sıklığı, nodülü olmayan gruba göre daha yüksek bulundu (p<0.05).Sonuç: Literatür ile uyumlu olarak, bu çalışmada da, Graves' hastalığında nodül varlığının malignite riskini artırdığı gösterilmiştir. Nodüle sahip Graves' hastaları klinik, radyolojik ve patolojik olarak dikkatli araştırılmalıdır.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Tıbbi Laboratuar Teknolojisi

Thyroid Malignancies In Patients With Graves' Disease

Öz:
Objective: Graves' disease is an autoimmune thyroid disorder. Concurrent Graves' disease with primary thyroid malignancies has been reported at an increasing frequency. The aim of this study is to investigate the prevalence of primary thyroid malignancies among thyroidectomy specimens with Graves' disease examined in our department. Methods: The slides of forty patients, which underwent thyroidectomy due to Graves' disease, were reevaluated in between 2010 to 2016.Results: 11 of 40 thyroidectomy specimens (27.5%) had primary thyroid malignancy. All malignancies were papillary carcinoma. The prevalence of malignancy was significantly higher in cases of Graves' disease with macroscopic or microscopic nodule than in Graves' patients without nodule (p<0.05).Conclusion: This study also showed that the Graves' disease with nodule had more risk of thyroid malignancy. The patients with concurrent Graves' disease and thyroid nodule should be carefully examined clinically, radiological, and pathologically for thyroid cancer.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Tıbbi Laboratuar Teknolojisi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Menconi F, Marcocci C, Marino M. Diagnosis and classification of Graves' disease. Autoimmun Rev. 2014;13:398-402.
  • 2. Cantalamessa L, Baldini M, Orsatti A, et al. Thyroid nodules in Graves disease and the risk of thyroid carcinoma. Arch Intern Med. 1999;159:1705-8.
  • 3. Erbil Y, Barbaros U, Ozbey N, et al. Graves' disease, with and without nodules, and the risk of thyroid carcinoma. J Laryngol Otol. 2008;122:291-5.
  • 4. Tam AA, Kaya C, Kilic FB, et al. Thyroid nodules and thyroid cancer in Graves' disease. Arq Bras Endocrinol Metabol. 2014;58:933-8.
  • 5. Boutzios G, Vasileiadis I, Zapanti E et al. Higher incidence of tall cell variant of papillary thyroid carcinoma in Graves' Disease. Thyroid. 2014;24:347-54.
  • 6. Chen YK, Lin CL, Chang YJ, et al. Cancer risk in patients with Graves' disease: a nationwide cohort study. Thyroid. 2013;23:879-84.
  • 7. Ergin AB, Saralaya S, Olansky L. Incidental papillary thyroid carcinoma: clinical characteristics and prognostic factors among patients with Graves' disease and euthyroid goiter, Cleveland Clinic experience. Am J Otolaryngol. 2014;35:784-90.
  • 8. Gerenova J, Buysschaert M, de Burbure CY, Daumerie C. Prevalence of thyroid cancer in Graves' disease: a retrospective study of a cohort of 103 patients treated surgically. European Journal of Internal Medicine. 2003;14:321-5.
  • 9. Lee J, Nam KH, Chung WY, et al. Clinicopathologic features and treatment outcomes in differentiated thyroid carcinoma patients with concurrent Graves' disease. J Korean Med Sci. 2008;23:796-801.
  • 10. Phitayakorn R, McHenry CR. Incidental thyroid carcinoma in patients with Graves' disease. Am J Surg. 2008;195:292- 7; discussion 7.
  • 11. Ren M, Wu MC, Shang CZ, et al. Predictive factors of thyroid cancer in patients with Graves' disease. World J Surg. 2014;38:80-7.
  • 12. Staniforth JU, Erdirimanne S, Eslick GD. Thyroid carcinoma in Graves' disease: A meta-analysis. Int J Surg. 2016;27:118-25.
  • 13. Tamatea JA, Tu'akoi K, Conaglen JV, et al. Thyroid cancer in Graves' disease: is surgery the best treatment for Graves' disease? ANZ J Surg. 2014;84:231-4.
  • 14. Wei S, Baloch ZW, LiVolsi VA. Thyroid carcinoma in patients with Graves' disease: an institutional experience. Endocr Pathol. 2015;26:48-53.
  • 15. LiVolsi VA, Baloch ZW. Follicular neoplasms of the thyroid: view, biases, and experiences. Adv Anat Pathol. 2004;11:279-87.
  • 16. Harach HR, Franssila KO, Wasenius VM. Occult papillary carcinoma of the thyroid. A "normal" finding in Finland. A systematic autopsy study. Cancer. 1985;56:531-8.
  • 17. Bradly DP, Reddy V, Prinz RA, Gattuso P. Incidental papillary carcinoma in patients treated surgically for benign thyroid diseases. Surgery. 2009;146:1099-104.
  • 18. Mishra A, Mishra SK. Thyroid nodules in Graves' disease: implications in an endemically iodine deficient area. J Postgrad Med. 2001;47:244-7.
  • 19. Pellegriti G, Mannarino C, Russo M, et al. Increased mortality in patients with differentiated thyroid cancer associated with Graves' disease. J Clin Endocrinol Metab. 2013;98:1014-21.
  • 20. Preece J, Grodski S, Yeung M, et al. Thyrotoxicosis does not protect against incidental papillary thyroid cancer. Surgery. 2014;156:1153-6.
  • 21. Senyurek Giles Y, Tunca F, Boztepe H, et al. The risk factors for malignancy in surgically treated patients for Graves' disease, toxic multinodular goiter, and toxic adenoma. Surgery. 2008;144:1028-36; discussion 36-7.
  • 22. Smith JJ, Chen X, Schneider DF, et al. Cancer after thyroidectomy: a multi-institutional experience with 1,523 patients. J Am Coll Surg. 2013;216:571-7; discussion 7-9.
  • 23. Taşkesen F, Uslukaya Ö, Kuzu H, et al. Coexistence of hyperthyroidism and thyroid cancer. Dicle Tıp Dergisi. 2014;41:364-7.
  • 24. Rapoport B, Chazenbalk GD, Jaume JC, McLachlan SM. The thyrotropin (TSH) receptor: interaction with TSH and autoantibodies. Endocr Rev. 1998;19:673-716.
  • 25. Belfiore A, Garofalo MR, Giuffrida D, et al. Increased aggressiveness of thyroid cancer in patients with Graves' disease. J Clin Endocrinol Metab. 1990;70:830-5.
  • 26. Karagülle E, Türk E, Ayvazoğlu Soy E, et al. Bir merkezde tiroid papiller mikrokarsinom görülme sıklığı ve ameliyat öncesi tetkiklerin tanısal değeri. Diyaliz Transplantasyon ve Yanık. 2009;20:22-8.
  • 27. Kim SH, Kim HY, Jung KY, et al. Anaplastic thyroid carcinoma following radioactive iodine therapy for graves' disease. Endocrinol Metab (Seoul). 2013;28:61-4.
  • 28. Meng ZW, Zhang YJ, Li W, et al. Relapse of hyperthyroidism after hemithyroidectomy in concurrent medullary thyroid cancer and Graves' disease. Bratisl Lek Listy. 2013;114:544-6.
  • 29. Baloch Z, LiVolsi VA, Tondon R. Aggressive variants of follicular cell derived thyroid carcinoma; the so called 'real thyroid carcinomas'. J Clin Pathol. 2013;66:733-43.
  • 30. Chai EZ, Siveen KS, Shanmugam MK, et al. Analysis of the intricate relationship between chronic inflammation and cancer. Biochem J. 2015;468:1-15.
  • 31. Repplinger D, Bargren A, Zhang YW, et al. Is Hashimoto's thyroiditis a risk factor for papillary thyroid cancer? J Surg Res. 2008;150:49-52.
  • 32. Chui MH, Cassol CA, Asa SL, Mete O. Follicular epithelial dysplasia of the thyroid: morphological and immunohistochemical characterization of a putative preneoplastic lesion to papillary thyroid carcinoma in chronic lymphocytic thyroiditis. Virchows Arch. 2013;462:557-63.
  • 33. Montone KT, Baloch ZW, LiVolsi VA. The thyroid Hurthle (oncocytic) cell and its associated pathologic conditions: a surgical pathology and cytopathology review. Arch Pathol Lab Med. 2008;132:1241-50.
  • 34. Guth S, Theune U, Aberle J, et al. Very high prevalence of thyroid nodules detected by high frequency (13 MHz) ultrasound examination. Eur J Clin Invest. 2009;39:699-706.
  • 35. Anderson SR, Mandel S, LiVolsi VA, et al. Can cytomorphology differentiate between benign nodules and tumors arising in Graves' disease? Diagnostic Cytopathology. 2004;31:64-7.
APA GÜÇER H (2016). Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. , 460 - 467.
Chicago GÜÇER Hasan Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. (2016): 460 - 467.
MLA GÜÇER Hasan Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. , 2016, ss.460 - 467.
AMA GÜÇER H Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. . 2016; 460 - 467.
Vancouver GÜÇER H Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. . 2016; 460 - 467.
IEEE GÜÇER H "Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri." , ss.460 - 467, 2016.
ISNAD GÜÇER, Hasan. "Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri". (2016), 460-467.
APA GÜÇER H (2016). Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. Dicle Tıp Dergisi, 43(3), 460 - 467.
Chicago GÜÇER Hasan Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. Dicle Tıp Dergisi 43, no.3 (2016): 460 - 467.
MLA GÜÇER Hasan Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. Dicle Tıp Dergisi, vol.43, no.3, 2016, ss.460 - 467.
AMA GÜÇER H Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. Dicle Tıp Dergisi. 2016; 43(3): 460 - 467.
Vancouver GÜÇER H Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri. Dicle Tıp Dergisi. 2016; 43(3): 460 - 467.
IEEE GÜÇER H "Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri." Dicle Tıp Dergisi, 43, ss.460 - 467, 2016.
ISNAD GÜÇER, Hasan. "Graves' Hastalığına Sahip Olgularda Tiroid Maligniteleri". Dicle Tıp Dergisi 43/3 (2016), 460-467.