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Follicular thyroid carcinoma(NMTC2)

MedGen UID:
64630
Concept ID:
C0206682
Neoplastic Process
Synonyms: NMTC2; Thyroid cancer, follicular; Thyroid gland follicular carcinoma
SNOMED CT: Follicular adenocarcinoma - well differentiated (28173006); Follicular carcinoma - well differentiated (28173006); FTC - follicular thyroid carcinoma (255028004); Follicular thyroid carcinoma (255028004); Follicular adenocarcinoma, well differentiated (28173006); Follicular carcinoma, well differentiated (28173006); Follicular adenocarcinoma (5257006); Follicular carcinoma (5257006)
 
HPO: HP:0006731
Monarch Initiative: MONDO:0005034
OMIM®: 605391

Definition

The presence of an follicular adenocarcinoma of the thyroid gland. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFollicular thyroid carcinoma

Conditions with this feature

Thyroid cancer, nonmedullary, 2
MedGen UID:
904175
Concept ID:
C4225426
Neoplastic Process
Nonmedullary thyroid cancer (NMTC) comprises thyroid cancers of follicular cell origin and accounts for more than 95% of all thyroid cancer cases. The remaining cancers originate from parafollicular cells (medullary thyroid cancer, MTC; 155240). NMTC is classified into 4 groups: papillary, follicular, Hurthle cell (607464), and anaplastic. Approximately 5% of NMTC is hereditary, occurring as a minor component of a familial cancer syndrome (e.g., familial adenomatous polyposis, 175100, Carney complex, 160980) or as a primary feature (familial NMTC or FNMTC). Papillary thyroid cancer (PTC) is the most common histologic subtype of FNMTC, accounting for approximately 85% of cases (summary by Vriens et al., 2009). Follicular thyroid cancer (FTC) accounts for approximately 15% of NMTC and is defined by invasive features that result in infiltration of blood vessels and/or full penetration of the tumor capsule, in the absence of the nuclear alterations that characterize papillary carcinoma. FTC is rarely multifocal and usually does not metastasize to the regional lymph nodes but tends to spread via the bloodstream to the lung and bones. An important histologic variant of FTC is the oncocytic (Hurthle cell, oxyphilic) follicular carcinoma composed of eosinophilic cells replete with mitochondria (summary by Bonora et al., 2010). For a general phenotypic description and a discussion of genetic heterogeneity of NMTC, see NMTC1 (188550).

Professional guidelines

PubMed

Smith LP, Brubaker LW, Wolsky RJ
Surg Pathol Clin 2023 Mar;16(1):75-86. Epub 2022 Dec 13 doi: 10.1016/j.path.2022.09.008. PMID: 36739168
Jung CK, Kim Y, Jeon S, Jo K, Lee S, Bae JS
Hum Pathol 2018 Nov;81:9-17. Epub 2018 May 1 doi: 10.1016/j.humpath.2018.04.018. PMID: 29723601
Ríos A, Rodríguez JM, Parrilla P
Cir Esp 2015 Dec;93(10):611-8. Epub 2015 Sep 26 doi: 10.1016/j.ciresp.2015.06.004. PMID: 26412746

Curated

UK NICE Guideline NG230, Thyroid cancer: assessment and management

Recent clinical studies

Etiology

Houten PV, Netea-Maier RT, Smit JW
Best Pract Res Clin Endocrinol Metab 2023 Jan;37(1):101687. Epub 2022 Aug 12 doi: 10.1016/j.beem.2022.101687. PMID: 36002346
Baloch ZW, Asa SL, Barletta JA, Ghossein RA, Juhlin CC, Jung CK, LiVolsi VA, Papotti MG, Sobrinho-Simões M, Tallini G, Mete O
Endocr Pathol 2022 Mar;33(1):27-63. Epub 2022 Mar 14 doi: 10.1007/s12022-022-09707-3. PMID: 35288841
Matsuura D, Yuan A, Wang L, Ranganath R, Adilbay D, Harries V, Patel S, Tuttle M, Xu B, Ghossein R, Ganly I
Thyroid 2022 Mar;32(3):245-254. doi: 10.1089/thy.2021.0424. PMID: 35078345Free PMC Article
Cipriani NA
Surg Pathol Clin 2019 Dec;12(4):883-900. Epub 2019 Sep 18 doi: 10.1016/j.path.2019.07.001. PMID: 31672296
Haigh PI
Curr Treat Options Oncol 2002 Aug;3(4):349-54. doi: 10.1007/s11864-002-0034-z. PMID: 12074771

Diagnosis

Houten PV, Netea-Maier RT, Smit JW
Best Pract Res Clin Endocrinol Metab 2023 Jan;37(1):101687. Epub 2022 Aug 12 doi: 10.1016/j.beem.2022.101687. PMID: 36002346
Baloch ZW, Asa SL, Barletta JA, Ghossein RA, Juhlin CC, Jung CK, LiVolsi VA, Papotti MG, Sobrinho-Simões M, Tallini G, Mete O
Endocr Pathol 2022 Mar;33(1):27-63. Epub 2022 Mar 14 doi: 10.1007/s12022-022-09707-3. PMID: 35288841
Vuong HG, Le MK, Hassell L, Kondo T, Kakudo K
Head Neck 2022 Apr;44(4):926-932. Epub 2022 Jan 25 doi: 10.1002/hed.26987. PMID: 35076146
Sobrinho-Simões M, Eloy C, Magalhães J, Lobo C, Amaro T
Mod Pathol 2011 Apr;24 Suppl 2:S10-8. doi: 10.1038/modpathol.2010.133. PMID: 21455197
Haigh PI
Curr Treat Options Oncol 2002 Aug;3(4):349-54. doi: 10.1007/s11864-002-0034-z. PMID: 12074771

Therapy

Oh DY, Algazi A, Capdevila J, Longo F, Miller W Jr, Chun Bing JT, Bonilla CE, Chung HC, Guren TK, Lin CC, Motola-Kuba D, Shah M, Hadoux J, Yao L, Jin F, Norwood K, Lebellec L
Cancer 2023 Apr 15;129(8):1195-1204. Epub 2023 Feb 7 doi: 10.1002/cncr.34657. PMID: 36748723
Schmidt M, Görges R, Drzezga A, Dietlein M
J Nucl Med 2018 Aug;59(8):1195-1201. Epub 2018 May 10 doi: 10.2967/jnumed.117.191338. PMID: 29748234
Zhao Y, Zhang Y, Liu XJ, Shi BY
Tumori 2012 Mar-Apr;98(2):233-7. doi: 10.1177/030089161209800209. PMID: 22677990
Huang CC, Hsueh C, Liu FH, Chao TC, Lin JD
Surg Oncol 2011 Mar;20(1):1-6. Epub 2009 Jul 10 doi: 10.1016/j.suronc.2009.06.006. PMID: 19596568
Haigh PI
Curr Treat Options Oncol 2002 Aug;3(4):349-54. doi: 10.1007/s11864-002-0034-z. PMID: 12074771

Prognosis

Baloch ZW, Asa SL, Barletta JA, Ghossein RA, Juhlin CC, Jung CK, LiVolsi VA, Papotti MG, Sobrinho-Simões M, Tallini G, Mete O
Endocr Pathol 2022 Mar;33(1):27-63. Epub 2022 Mar 14 doi: 10.1007/s12022-022-09707-3. PMID: 35288841
Cipriani NA
Surg Pathol Clin 2019 Dec;12(4):883-900. Epub 2019 Sep 18 doi: 10.1016/j.path.2019.07.001. PMID: 31672296
Baloch ZW, LiVolsi VA
Histopathology 2018 Jan;72(1):40-52. doi: 10.1111/his.13348. PMID: 29239042
Sobrinho-Simões M, Eloy C, Magalhães J, Lobo C, Amaro T
Mod Pathol 2011 Apr;24 Suppl 2:S10-8. doi: 10.1038/modpathol.2010.133. PMID: 21455197
Haigh PI
Curr Treat Options Oncol 2002 Aug;3(4):349-54. doi: 10.1007/s11864-002-0034-z. PMID: 12074771

Clinical prediction guides

Oh DY, Algazi A, Capdevila J, Longo F, Miller W Jr, Chun Bing JT, Bonilla CE, Chung HC, Guren TK, Lin CC, Motola-Kuba D, Shah M, Hadoux J, Yao L, Jin F, Norwood K, Lebellec L
Cancer 2023 Apr 15;129(8):1195-1204. Epub 2023 Feb 7 doi: 10.1002/cncr.34657. PMID: 36748723
Díaz R, Domínguez JM, Tala H, Olmos R, Pineda P, Olivarí D, Jiménez M, Mimica X, Lanas A, Ocares G, Sapunar J
Arch Endocrinol Metab 2023 Mar 30;67(3):348-354. Epub 2023 Jan 17 doi: 10.20945/2359-3997000000580. PMID: 36651709Free PMC Article
Cipriani NA
Surg Pathol Clin 2019 Dec;12(4):883-900. Epub 2019 Sep 18 doi: 10.1016/j.path.2019.07.001. PMID: 31672296
Yu Q, Liu K, Xie C, Ma D, Wu Y, Jiang H, Dai W
Clin Endocrinol (Oxf) 2019 Aug;91(2):348-355. Epub 2019 May 9 doi: 10.1111/cen.14002. PMID: 31050007
Sobrinho-Simões M, Eloy C, Magalhães J, Lobo C, Amaro T
Mod Pathol 2011 Apr;24 Suppl 2:S10-8. doi: 10.1038/modpathol.2010.133. PMID: 21455197

Recent systematic reviews

San Juan MD, Paz-Pacheco E
J ASEAN Fed Endocr Soc 2023;38(1):100-107. Epub 2023 Mar 2 doi: 10.15605/jafes.038.01.14. PMID: 37252408Free PMC Article
Su J, Wang M, Fu Y, Yan J, Shen Y, Jiang J, Wang J, Lu J, Zhong Y, Lin X, Lin Z, Lin S
Expert Rev Anticancer Ther 2022 Sep;22(9):999-1008. Epub 2022 Jul 20 doi: 10.1080/14737140.2022.2102000. PMID: 35833358
Varadarajan VV, Pace EK, Patel V, Sawhney R, Amdur RJ, Dziegielewski PT
BMC Cancer 2017 Mar 28;17(1):225. doi: 10.1186/s12885-017-3199-3. PMID: 28351395Free PMC Article
Fussey JM, Crunkhorn R, Tedla M, Weickert MO, Mehanna H
Head Neck 2016 Apr;38 Suppl 1:E2297-305. Epub 2015 Sep 3 doi: 10.1002/hed.24218. PMID: 26335228
Nell S, Kist JW, Debray TP, de Keizer B, van Oostenbrugge TJ, Borel Rinkes IH, Valk GD, Vriens MR
Eur J Radiol 2015 Apr;84(4):652-61. Epub 2015 Jan 16 doi: 10.1016/j.ejrad.2015.01.003. PMID: 25638577

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2022
      UK NICE Guideline NG230, Thyroid cancer: assessment and management

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