2005
DOI: 10.1210/jc.2004-1203
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PPARγ Staining as a Surrogate for PAX8/PPARγ Fusion Oncogene Expression in Follicular Neoplasms: Clinicopathological Correlation and Histopathological Diagnostic Value

Abstract: The PAX8/PPARgamma (PPFP) fusion-oncogene is moderately specific for follicular thyroid carcinomas (FTC). It remains unknown whether this can be translated into improved diagnosis, classification, or outcome prediction. We studied a cohort of well-characterized follicular adenomas (FA), FTC, and Hurthle cell carcinomas (HCC) from patients with complete clinical follow-up, to determine whether PPARgamma immunohistochemistry (as a surrogate of PAX8/PPARgamma expression) helps to distinguish FA from FTC and to as… Show more

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Cited by 73 publications
(55 citation statements)
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“…While the Ras mutation is not restricted to a particular histological type, PAX8/PPARg rearrangement mainly presents with follicular neoplasms and a small portion of follicular variants of papillary thyroid cancers (Dwight et al 2003, Nikiforova et al 2003, Kroll 2004, Lacroix et al 2004, Koenig 2010, Nikiforov & Nikiforova 2011. Because the expression of PPFP indicates a favorable clinical presentation and prognosis, FTCs presenting with PAX8/PPARg rearrangement are thought to be a less aggressive subtype (Sahin et al 2005). Although it is expressed at a lower frequency in follicular thyroid adenoma, PPFP is believed to play an important role in thyroid tumorigenesis, probably at an early stage (Nikiforova et al 2002, Gregory Powell et al 2004, Reddi et al 2007.…”
Section: Discussionmentioning
confidence: 99%
“…While the Ras mutation is not restricted to a particular histological type, PAX8/PPARg rearrangement mainly presents with follicular neoplasms and a small portion of follicular variants of papillary thyroid cancers (Dwight et al 2003, Nikiforova et al 2003, Kroll 2004, Lacroix et al 2004, Koenig 2010, Nikiforov & Nikiforova 2011. Because the expression of PPFP indicates a favorable clinical presentation and prognosis, FTCs presenting with PAX8/PPARg rearrangement are thought to be a less aggressive subtype (Sahin et al 2005). Although it is expressed at a lower frequency in follicular thyroid adenoma, PPFP is believed to play an important role in thyroid tumorigenesis, probably at an early stage (Nikiforova et al 2002, Gregory Powell et al 2004, Reddi et al 2007.…”
Section: Discussionmentioning
confidence: 99%
“…At lease 10 types of RET/PTC rearrangement have been identified, which differ by their 5k partner genes, with RET/PTC1, RET/PTC2, and RET/PTC3 being the most common and occurring mainly in PTC and some benign adenomas. The PAX8-PPARg occurs both in FTC and benign thyroid adenoma (Cheung et al 2003, Sahin et al 2005. The recently discovered activating mutation in BRAF (the gene for the B-type Raf kinase, BRAF), the focus of this review, represents the most common genetic alteration in thyroid cancer.…”
Section: Introductionmentioning
confidence: 99%
“…It was reported in the literature that papillary thyroid carcinoma cases found to have a BRAF V600E mutation were more aggressive in studies assessing the relation between BRAF V600E mutation and prognosis and that metastasis outside the thyroid, lymph node and distant metastases increased, that there was a relation between advanced age and advanced stage tumor and that there was resistance to radioactive iodine therapy (18,43). In line with the literature and Turkish data, a BRAF V600E mutation was detected in 12 out of 37 papillary thyroid carcinoma cases (32.4%).…”
Section: Discussionmentioning
confidence: 99%