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Familial syndromes associated with thyroid cancer in the era of personalized medicine.
[pendred syndrome]
Well-differentiated
thyroid
cancer
accounts
for
95
%
of
thyroid
malignancies
,
and
5
%
of
these
patients
will
have
familial
disease
.
This
compares
to
25
%
of
patients
with
medullary
thyroid
cancer
(
MTC
)
having
a
familial
form
;
however
,
this
accounts
for
only
1
%
of
all
patients
with
thyroid
cancer
.
Most
cases
of
familial
thyroid
cancer
are
nonmedullary
(
NMFTC
)
,
and
have
been
shown
to
be
present
in
familial
cancer
syndromes
such
as
familial
adenomatous
polyposis
,
Cowden
syndrome
,
Carney
complex
,
Pendred
syndrome
,
and
Werner
syndrome
.
This
review
discusses
the
contemporary
management
of
the
patients
with
familial-syndrome-associated
thyroid
cancer
based
on
their
individual
risks
for
developing
thyroid
cancer
.
Most
of
the
progress
in
the
genetics
of
familial
thyroid
cancer
has
been
in
patients
with
MTC
.
The
mutations
in
patients
with
isolated
NMFTC
have
not
been
as
well
defined
as
in
MTC
.
They
are
likely
autosomal
dominant
with
reduced
penetrance
.
The
patients
with
these
familial
syndromes
most
likely
have
a
susceptibility
gene
that
increases
the
risk
of
thyroid
cancer
.
Most
of
the
patients
with
a
familial
syndrome
and
NMFTC
will
have
papillary
thyroid
carcinoma
,
suggesting
that
a
specific
gene
for
papillary
thyroid
carcinoma
may
also
be
present
.
In
many
cases
,
patients
have
a
known
familial
syndrome
that
has
defined
risk
for
thyroid
cancer
.
Patients
with
familial
syndromes
that
are
associated
with
thyroid
cancer
can
be
individually
categorized
based
on
syndrome
risks
for
developing
thyroid
cancer
.
The
clinician
must
also
be
knowledgeable
in
recognizing
the
possibility
of
an
underlying
familial
syndrome
when
a
patient
presents
with
thyroid
cancer
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated