Serum endocan levels can predict malignancy of thyroid: a prospective clinical study

Yıl 2020, Cilt: 2 Sayı: 4, 117 - 122, 23.09.2020

Mutlu Şahin Mehmet Saydam Kerim Yılmaz Hamdullah Yanık İbrahim Yılmaz Görkem Gündoğan Cem Azılı Melih Akıncı Mehmet Gülçelik

https://doi.org/10.38053/acmj.789254

Öz

Aim: The differential diagnosis of benign and malignant diseases of the thyroid is important in borderline malignancies and malignancies that have not been diagnosed with biopsy. This study aimed to determine endocan molecule levels in patients with thyroid cancer, nodular goiter and thyroiditis. Thus, it was aimed to determine the availability of the endocan molecule in the differential diagnosis of thyroid diseases.

Material and Method: The study was conducted between March 1, 2018 and August 1, 2018. During this period, patients who were scheduled for surgery due to thyroid disease and wanted to participate in the study voluntarily were included in the study. A prospective, cross-sectional clinical trial was designed. Patients included in the study were divided into four groups, according to their pathology report results; Group 1: Papillary thyroid cancer (PTC), Group 2: Multinodular goiter on thyroiditis background, Group 3: Multinodular goiter (MNG), Group 4: Follicular thyroid cancer (FTC).

Results: A total of 72 patients were included in the study. Multiple analysis comparing the four groups, showed no statistically significant difference between the groups (p>0.050). When the benign and malignant patient groups were compared, endocan levels were found to be statistically significantly higher in the malignant group (p=0.0375). When thyroid carcinoma groups were compared among themselves, the endocan level was detected to be higher in FTC, compared to PTC (p=0.047).

Conclusion: The level of “endocan” was observed to increase in malignant thyroid diseases. This was particularly so in FTC, which shows spreading via the hematogenous route. This is an encouraging sign that the "endocan" molecule can be used as a general tumor marker. However, prospective additional studies with large randomized series are needed.

Anahtar Kelimeler

Thyroid carcinoma, tiroid nodülü, thyroiditis, goiter

Destekleyen Kurum

University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey

Proje Numarası

BAP - 2018/34

Serum endokan seviyeleri tiroid malignitesini tahmin edebilir: prospektif bir klinik çalışma

Öz

Amaç: Tiroidin iyi huylu ve kötü huylu hastalıklarının ayırıcı tanısı, biyopsi ile tanı konulmamış borderline malignite ve malignitelerde önemlidir. Bu çalışmada tiroid kanseri, nodüler guatr ve tiroiditli hastalarda endokan molekül düzeylerinin belirlenmesi amaçlanmıştır. Böylelikle tiroid hastalıklarının ayırıcı tanısında endokan molekülünün kullanılabilirliğinin belirlenmesi amaçlandı.

Gereç ve Yöntem: Çalışma, 1 Mart 2018 ile 1 Ağustos 2018 tarihleri arasında gerçekleştirildi. Bu süre içerisinde tiroid hastalığı nedeniyle ameliyat planlanıp çalışmaya gönüllü olarak katılmak isteyen hastalar çalışmaya dahil edildi. Prospektif, kesitsel bir klinik çalışma tasarlandı. Çalışmaya dahil edilen hastalar patoloji raporu sonuçlarına göre dört gruba ayrıldı; Grup 1: Papiller tiroid kanseri (PTK), Grup 2: Tiroidit zemininde multinodüler guatr, Grup 3: Multinodüler guatr (MNG), Grup 4: Foliküler tiroid kanseri (FTK).

Bulgular: Çalışmaya toplam 72 hasta dahil edildi. Dört grubu karşılaştıran çoklu analizde, gruplar arasında istatistiksel olarak anlamlı bir fark görülmedi (p> 0,050). Benign ve malign hasta grupları karşılaştırıldığında endokan düzeyleri malign grupta istatistiksel olarak anlamlı yüksek bulundu (p = 0,0375). Tiroid karsinom grupları kendi aralarında karşılaştırıldığında endokan düzeyinin FTK'nde PTK'ne göre daha yüksek olduğu tespit edildi (p = 0,047).

Sonuç: Malign tiroid hastalıklarında “endokan” düzeyinin arttığı gözlendi. Bu özellikle hematojen yolla yayılım gösteren FTK'nde daha fazlaydı. Bu, "endokan" molekülünün genel bir tümör belirteci olarak kullanılabileceğine dair cesaret verici bir işarettir. Bununla birlikte, geniş randomize serilerle ileriye dönük ek çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Tiroid karsinomu, tiroid nodülü, tiroidit, guatr

Proje Numarası

BAP - 2018/34

Kaynakça

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