首页|甲状腺乳头状癌BRAFV600E基因突变与其临床病理特征的相关性研究

甲状腺乳头状癌BRAFV600E基因突变与其临床病理特征的相关性研究

The correlation between BRAFV600E gene mutations and clinical pathological characteristics of papillary thyroid carcinoma

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目的 甲状腺乳头状癌(papillary thyroid carcinoma,PTC)是一种常见的恶性肿瘤,发病率逐年增加,其发病机制和临床特征仍不十分明确,本文拟探讨PTC患者BRAFV600E基因突变检测结果与其临床病理特征的关系,为PTC患者的治疗决策提供依据.方法 按照严格的纳入标准从蚌埠医科大学第一附属医院甲乳外科2022年1-9月收治的甲状腺乳头状癌患者中收集符合条件的病例资料,采用x2检验及logistic分析PTC患者BRAFV600E基因突变情况以及与临床病理特征的关系.所有临床数据采用SPSS 26.0统计学软件进行统计学分析.结果 本研究共纳入108例甲状腺乳头状癌患者,BRAFV600E基因突变率为70.37%(76/108).单因素分析结果显示,合并桥本甲状腺炎、伴中央区淋巴结转移、包膜侵犯及肿瘤最大径≥0.5 cm与BRAFV600E基因突变有关,差异有统计学意义(P<0.05).Logistic分析结果显示,年龄≥55岁、肿瘤最大径≥0.5 cm是BRAFV600E突变的危险因素,而合并桥本氏甲状腺炎是BRAFV600E突变的保护因素.结论 BRAFV600E检测在甲状腺乳头状癌中具有一定的诊断价值,BRAFV600E检测结果与甲状腺乳头状癌部分临床病理特征存在相关性,BRAFV600E检测结果对临床治疗决策和预后判断具有较好的指导意义.
Objective Papillary thyroid carcinoma(PTC)is a common malignant tumor.The incidence rate is increasing year by year,and its pathogenesis and clinical characteristics are still not very clear.This article intends to explore the re-lationship between the BRAFV600E gene mutation detection results and the clinicopathological characteristics of PTC patients,so as to provide a basis for treatment decisions of PTC patients.Methods According to strict inclusion criteria,eligible case data were collected from patients with papillary thyroid carcinoma admitted to the First Affiliated Hospital of Bengbu Medical University from January 2022 to September 2022.Chi-square test and logistic analysis were used to analyze the BRAFV600E gene mutation and its relationship with clinical and pathological characteristics in PTC patients.All clinical data were statistically analyzed using SPSS 26.0 software.Results This study included 108 patients with papillary thyroid car-cinoma,with a BRAFV600E gene mutation rate of 70.37%(76/108).The results of univariate analysis showed that the pres-ence of Hashimoto's thyroiditis,central lymph node metastasis,capsule invasion,and maximum diameter of tumor ≥0.5 cm were associated with BRAFV600E gene mutations,and the difference was statistically significant(P<0.05).The logistic analysis results showed that age ≥55 years and maximum diameter of tumor ≥0.5 cm were risk factors for BRAFV600E muta-tion,while Hashimoto's thyroiditis was a protective factor for BRAFV600E mutation.Conclusion BRAFV600E detection has a certain diagnostic value in papillary thyroid carcinoma.The results of BRAFV600E detection are correlated with some clinical and pathological features of papillary thyroid carcinoma.The results of BRAFV600E detection have good guiding significance for clinical treatment decision-making and prognosis judgment.

Thyroid papillary carcinomaBRAFV600E gene mutationClinical pathological characteristics

王岩岩、张超、王林、彭德峰、孙思雨、姜芳倩、杨青青、姚廷敬

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蚌埠医科大学第一附属医院甲乳外科,安徽蚌埠 233004

蚌埠医科大学第一附属医院内分泌科

甲状腺乳头状癌 BRAFV600E基因突变 临床病理特征

安徽省高等学校自然科学研究重点项目蚌埠医科大学自然科学研究重点项目

2022AH0514202020byzd124

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(9)