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Thyroid cancer of follicular cell origin in inherited tumor syndromes.
[pendred syndrome]
Well-differentiated
thyroid
cancer
accounts
for
95
%
of
thyroid
malignancies
.
In
contrast
to
medullary
thyroid
carcinoma
,
in
which
about
25
%
are
familial
,
only
5
%
of
follicular
cell-derived
thyroid
carcinomas
are
a
component
of
a
familial
cancer
syndrome
.
The
familial
follicular
cell-derived
tumors
or
nonmedullary
thyroid
carcinoma
encompass
a
heterogeneous
group
of
diseases
,
and
are
classified
into
2
distinct
groups
:
syndromic-associated
tumors
,
occurring
in
syndromes
in
which
nonmedullary
thyroid
carcinomas
are
the
predominant
tumor
encountered
,
and
nonsyndromic
tumors
,
those
occurring
in
tumor
syndromes
in
which
thyroid
involvement
is
a
minor
component
.
The
first
group
,
syndromic-associated
tumors
,
includes
phosphase
and
tensin
(
PTEN
)
-
hamartoma
tumor
syndrome
/
Cowden
syndrome
,
familial
adenomatous
polyposis
/
Gardner
syndrome
,
Carney
complex
type
1
,
Werner
syndrome
,
and
Pendred
syndrome
.
Other
syndromes
,
as
McCune
Albright
syndrome
,
Peutz-
Jeghers
syndrome
,
and
Ataxia
-teleangiectasia
syndrome
may
be
associated
with
the
development
of
follicular
cell-derived
tumors
,
but
the
link
is
less
established
than
the
above
syndromes
.
The
syndromic-associated
tumors
are
the
focus
of
this
review
.
The
second
group
of
familial
follicular
cell-derived
tumors
syndromes
or
nonsyndromic
tumors
,
in
which
nonmedullary
thyroid
carcinomas
are
the
major
findings
,
include
pure
familial
papillary
thyroid
carcinoma
,
with
or
without
oxyphilia
,
familial
papillary
thyroid
carcinoma
with
papillary
renal
cell
carcinoma
,
and
familial
papillary
thyroid
carcinoma
with
multinodular
goiter
.
This
review
will
discuss
the
clinical
and
pathological
findings
of
the
patients
with
familial
syndrome-associated
tumors
:
PTEN
-
hamartoma
tumor
syndrome
/
Cowden
syndrome
,
familial
adenomatous
polyposis
syndrome
,
Carney
complex
type
1
,
Werner
syndrome
,
and
Pendred
syndrome
.
Diseases
Validation
Diseases presenting
"first group"
symptom
familial mediterranean fever
homocystinuria without methylmalonic aciduria
neonatal adrenoleukodystrophy
pendred syndrome
sneddon syndrome
thoracic outlet syndrome
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