1. Detection of lymph node metastases of papillary thyroid cancer-comparison of the results of histopathology, immunohistochemistry and reverse transcription-polymerase chain reaction-a preliminary report.
- Author
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Pomorski, L., Kaczka, Krzysztof, Piaskowski, S., Wójcik, I., Rieske, P., Matejkowska, M., and Kuzdak, K.
- Subjects
LYMPH nodes ,HISTOPATHOLOGY ,THYROID gland surgery ,POLYMERASE chain reaction ,PATIENTS ,LYMPHATICS - Abstract
Background: The range of lymph adenectomy in differentiated thyroid cancer remains still a mailer of controversy because of the lack of reliable diagnostic methods for nodal metastases, other than histopathology. Aim: To compare the results of detection of lymph node metastases of papillary thyroid cancer by conventional histopathology and immunohistochemistry with the results of reverse transcription-polymerase chain reaction for thyroglobulin mRNA. Patients and methods: Each of 166 cervical lymph nodes obtained from 21 patients was divided into two halves: one was used for conventional histopathology and immunohistochemistry, the other part was investigated by molecular examination. Results: We obtained different results from examination of the lymph nodes in six (28.6%) patients. In four patients (19.1%) reverse transcription- polymerase chain reaction (RT-PCR) was more sensitive in detection of positive lymph nodes; in two patients (9.5%) it revealed fewer meta stashed lymph nodes than did histopathology. The rest of the patients did not have any differences: 12 (57.1%) of them had negative lymph nodes and three (14.3%) had positive lymph nodes in all examinations. Conclusions: (1) Thyroglobulin (Tag) RT-PCR is an appropriate method of detection for thyroid cancer cells. (2) In combine -tigon with histopathology, it might help to qualify patients' nodal status better. [ABSTRACT FROM AUTHOR]
- Published
- 2005
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