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8d
Genomic Characterization of Oncocytic Carcinoma of the Thyroid Using a Large Multi-Institutional Database. (PubMed, Otolaryngol Head Neck Surg)
The genomic landscape of OCA is marked by frequent TERT promoter mutations and distinct mutational patterns associated with patient gender and tumor metastatic status. These findings highlight potential molecular subtypes, reveal pathways potentially driving metastasis (eg, involving MEN1/TSC2), and identify novel sex-specific alterations (MST1R, PRKDC), offering avenues for improved development of targeted therapeutic strategies for OCA.
Journal
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TP53 (Tumor protein P53) • PTEN (Phosphatase and tensin homolog) • NF1 (Neurofibromin 1) • TERT (Telomerase Reverse Transcriptase) • KMT2D (Lysine Methyltransferase 2D) • TSC2 (TSC complex subunit 2) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • DAXX (Death-domain associated protein) • PRKDC (Protein Kinase, DNA-Activated, Catalytic Subunit) • PCLO (Piccolo Presynaptic Cytomatrix Protein) • MST1R (Macrophage Stimulating 1 Receptor)
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TP53 mutation • PTEN mutation
1m
Loss of heterozygosity exposes germline mutations in complex I and drives Warburg metabolism in oncocytic carcinoma of the thyroid. (PubMed, bioRxiv)
These findings unveil a new germline-driven mechanism of complex I loss and metabolic reprogramming in cancer, and provide further evidence of the strong selective pressure for complex I impairment in OCT. Germline mutations in complex I induce aerobic glycolysis in oncocytic carcinoma of the thyroid through somatic loss of heterozygosity.
Journal
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NDUFS1 (NADH:Ubiquinone Oxidoreductase Core Subunit S1)
4ms
Vudalimab for the Treatment of Locally Advanced or Metastatic Anaplastic Thyroid Cancer or Hurthle Cell Thyroid Cancer (clinicaltrials.gov)
P2, N=54, Active, not recruiting, Northwestern University | Recruiting --> Active, not recruiting | Trial completion date: Jul 2024 --> Jul 2027 | Trial primary completion date: Jul 2024 --> Jul 2026
Enrollment closed • Trial completion date • Trial primary completion date
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BRAF (B-raf proto-oncogene) • CD4 (CD4 Molecule)
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BRAF V600E
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vudalimab (XmAb717)
4ms
Malignant struma ovarii: clinicopathological and molecular features in a series of nine cases. (PubMed, Virchows Arch)
In conclusions, MSO shares histomolecular overlap with primary thyroid carcinoma, validating WHO 2022 thyroid tumor classification for risk stratification in struma ovarii. Conservative surgical management achieves excellent outcomes in low-grade cases.
Journal • BRCA Biomarker
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BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog) • BRCA1 (Breast cancer 1, early onset) • RET (Ret Proto-Oncogene) • PTEN (Phosphatase and tensin homolog) • HRAS (Harvey rat sarcoma viral oncogene homolog) • TERT (Telomerase Reverse Transcriptase) • KMT2C (Lysine Methyltransferase 2C) • RAS (Rat Sarcoma Virus) • NCAM1 (Neural cell adhesion molecule 1) • NKX2-1 (NK2 Homeobox 1) • KRT19 (Keratin 19) • PAX8 (Paired box 8) • EIF1AX (Eukaryotic Translation Initiation Factor 1A X-Linked)
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BRAF mutation • RET fusion • PTEN mutation • RET mutation • HRAS mutation • NRAS Q61 • BRAF G469A
4ms
Macrophage abundance in oncocytic thyroid cancer is associated with PD-L1 expression. (PubMed, Endocr Oncol)
Marked PD-L1 upregulation in widely invasive OTC suggests immune checkpoint inhibition as a potential therapeutic strategy. Larger, independent studies will be critical to validate these findings.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • CD68 (CD68 Molecule)
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PD-L1 expression
4ms
PDR001 Combination Therapy for Radioiodine-Refractory Thyroid Cancer (clinicaltrials.gov)
P2, N=19, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Sep 2025 --> Sep 2026 | Trial primary completion date: Sep 2025 --> Sep 2026
Trial completion date • Trial primary completion date
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BRAF V600E • BRAF V600 • BRAF V600K
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Mekinist (trametinib) • Tafinlar (dabrafenib) • spartalizumab (PDR001)
4ms
Lenvatinib in Locally Advanced Invasive Thyroid Cancer (clinicaltrials.gov)
P2, N=30, Active, not recruiting, Massachusetts Eye and Ear Infirmary | Recruiting --> Active, not recruiting | Trial completion date: Mar 2025 --> Nov 2026 | Trial primary completion date: Dec 2024 --> Oct 2025
Enrollment closed • Trial completion date • Trial primary completion date
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Lenvima (lenvatinib)
5ms
Dual-tracer 18F-FDG and 18F-AlF-NOTA-octreotide PET/CT imaging in oncocytic thyroid adenoma: a case report and literature review. (PubMed, Front Endocrinol (Lausanne))
A 44-year-old female presenting with ACTH-independent Cushing syndrome (morning cortisol 632.8 nmol/L, non-suppressed on dexamethasone suppression tests) underwent comprehensive endocrine evaluation...The discordant uptake patterns suggest distinct metabolic pathways in OA pathophysiology. Prospective multicenter studies with larger cohorts are warranted to establish standardized diagnostic criteria and explore theranostic applications of these imaging biomarkers in OA.
Review • Journal
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SSTR2 (Somatostatin Receptor 2)
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dexamethasone
6ms
Oncocytic Thyroid Tumours With Pathogenic FLCN Mutations Mimic Oncocytic Papillary Thyroid Carcinoma on Fine-Needle Aspiration. (PubMed, Cytopathology)
Thyroid tumours harbouring FLCN mutations with oncocytic features may mimic PTC cytologically. Although rare, correct diagnosis of these tumours is essential to ensure appropriate treatment. For early detection, patients with BHD may benefit from thyroid ultrasound surveillance.
Journal
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FLCN (Folliculin)
6ms
Multiple Target Kinase Inhibitor and Anti-Programmed Death-1 Antibody in Patients With Advanced Thyroid Cancer (clinicaltrials.gov)
P2, N=103, Completed, Fudan University | Active, not recruiting --> Completed | Trial completion date: Aug 2025 --> Dec 2024 | Trial primary completion date: Jun 2025 --> Dec 2024
Trial completion • Trial completion date • Trial primary completion date
7ms
Thyroid Carcinoma in Birt-Hogg-Dubé Syndrome: Case Series and Review of Literature. (PubMed, Thyroid)
TCs are rare in BHD. FLCN PVs may not be the sole molecular drivers in TCs but may have a substantial role in the development of aggressive TCs.
Review • Journal
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BRAF (B-raf proto-oncogene) • TP53 (Tumor protein P53) • FLCN (Folliculin) • DAXX (Death-domain associated protein)
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BRAF V600E • BRAF V600
8ms
Nivolumab Plus Ipilimumab in Thyroid Cancer (clinicaltrials.gov)
P2, N=53, Completed, Dana-Farber Cancer Institute | Active, not recruiting --> Completed
Trial completion
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Opdivo (nivolumab) • Yervoy (ipilimumab)