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Association of telomerase reverse transcriptase promoter mutations with clinicopathological features and prognosis of thyroid cancer: a meta-analysis
| Content Provider | Semantic Scholar |
|---|---|
| Author | Su, Xingyun Jiang, Xiaoxia Wang, Weibin Wang, Haiyong Xu, Xin Ni Lin, Aihui Teng, Xiao-Dong Wu, Huiling Teng, Li-Song |
| Copyright Year | 2016 |
| Abstract | The clinicopathological and prognostic significance of telomerase reverse transcriptase (TERT) promoter mutations have been widely investigated in thyroid cancer; however, the results are still discrepant. Systematic searches were performed in PubMed, Web of Science, Scopus, Ovid, and the Cochran Library databases for relevant articles prior to April 2016. Mutation rates were synthesized by R statistical software. The odds ratio or standardized mean difference with 95% confidence interval was pooled by Stata. A total of 22 studies with 4,907 cases were included in this meta-analysis. TERT promoter mutations tended to present in aggressive histological types including poorly differentiated thyroid cancer (33.37%), anaplastic thyroid cancer (38.69%), and tall-cell variant papillary thyroid cancer (30.23%). These promoter mutations were likely to exist in older patients and males and were well associated with larger tumor size, extrathyroidal extension, vascular invasion, lymph node metastasis, distant metastasis, advanced tumor stage, disease recurrence/persistence, and mortality. In addition, TERT promoter mutations (especially C228T) tended to coexist with BRAFV600E mutation, which indicated more aggressive tumor behavior. Therefore, TERT promoter mutations may be promising biomarkers for early diagnosis, risk stratification, prognostic prediction, and management of thyroid cancer. |
| Starting Page | 6965 |
| Ending Page | 6976 |
| Page Count | 12 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 5113912 |
| Volume Number | 9 |
| Journal | OncoTargets and therapy |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Anaplastic thyroid carcinoma Anatomic Node Biological Markers Confidence Intervals Differentiated Thyroid Gland Carcinoma Distant Metastasis Early Diagnosis Large Mutation Neoplasms Odds Ratio Papillary thyroid carcinoma Patients Pooled Sample Poorly Differentiated Thyroid Carcinoma RNA-Directed DNA Polymerase Stratification TERT gene Tumor stage Vascular Invasion Assessment lymph node metastases lymph nodes |
| Content Type | Text |
| Resource Type | Article |
