Application of molecular markers in the diagnostics of thyroid focal lesions – current state of knowledge
Journal Title: OncoReview - Year 2012, Vol 2, Issue 2
Abstract
Thyroid nodular disease is a common disorder and affects about 20% of adult polish population. Due to the fact that methods currently applied in routine assessment of these changes often do not provide accurate diagnosis, the research are ongoing to identify novel markers of malignancy, including molecular ones. Thus far not a single marker was found, which characterises with satisfying sensitivity and specificity in the preoperative differentiation of benign and malignant thyroid lesions. None of the developed potential markers was included to the routine diagnostic procedures or guidelines, either. However, intensive research aiming to search for novel molecular markers, optimization of methods of detection and evaluation of their true clinical utility bring more and more promising results. Analysis of not a single studied marker cannot serve as independent diagnostic method. However, examination of a group of several markers, together with ultrasound examination and classic cytological examination, may contribute to the increase in sensitivity and specificity in detection of malignant lesions and thus, make further therapeutic decisions in a patient with thyroid nodular disease easier.
Authors and Affiliations
Marek Ruchała, Kosma Woliński, Maciej Fularz, Ewelina Szczepanek-Parulska
Keywords
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