KMID : 0356620150300020221
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Journal of Korean Society of Endocrinology 2015 Volume.30 No. 2 p.221 ~ p.225
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A Calcitonin-Negative Neuroendocrine Tumor Derived from Follicular Lesions of the Thyroid
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:Kim Ga-Young
:Park Chul-Yun/:Cho Chang-Ho/:Park June-Sik/:Jung Eui-Dal/:Jeon Eon-Ju
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Abstract
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Neuroendocrine lesions of the thyroid are rare. The most common types are medullary thyroid carcinomas (MTCs) and C-cell hyperplasia. MTCs originate from thyroid parafollicular cells that secrete calcitonin which serves as a serum marker of MTCs. Here, the rare case of a calcitonin-negative neuroendocrine tumor (NET) derived from follicular lesions of the thyroid is described. A 34-year-old man presented at our hospital for the surgical management of an incidental thyroid nodule that was observed on an ultrasound sonography (USG) of the neck. Initially, USG-guided aspiration cytology was performed, and a MTC was suspected. The expressions of thyroglobulin and thyroid transcription factor-1, which are thyroid follicular cell markers, and synaptophysin and chromogranin A, which are neuroendocrine markers, was confirmed following surgical pathology. However, the staining of calcitonin, a marker of MTCs, was not observed. A nonmedullary NET of the thyroid is uncommon, and the distinction between calcitonin-negative NETs and MTCs of the thyroid may be important due to differences in their clinical courses and management.
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KEYWORD
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Calcitonin, Carcinoma, medullary, Neuroendocrine tumors
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