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Follicular Carcinoma of the Thyroid

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Book cover Malignant Tumors of the Thyroid
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Abstract

Follicular carcinoma of the thyroid is one of the subgroups of differentiated thyroid carcinoma. This group also includes papillary carcinoma and the follicular variant of papillary carcinoma. Hürthle cell (oxyphil cell, Askanazy cell) carcinoma is now considered a subgroup of follicular carcinoma. Although these tumors are all generally slow growing, late to metastasize, and often associated with a normal life span, there are significant differences among them. This has produced much confusion in the literature, where authors have lumped them all together as “well-differentiated carcinoma” and have reported results of treatment in large series without regard for separating patients in terms of risk factors. Finally, there is great variability in length of follow up in a relatively slow growing lesion. In attempting to understand follicular carcinoma it is important to remember that its etiology, epidemiology, pathology, clinical features, pattern of growth and spread, prognosis, and response to various treatment modalities are different from other tumors in this group.

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References

  1. Cuello C, Correa P, Eisenberg H. Georgraphic Pathology of thyroid carcinoma. Cancer 1969; 23: 230–239.

    Article  PubMed  CAS  Google Scholar 

  2. Williams ED. Pathology and natural history. In: Duncan W, ed. Thyroid Cancer. Vol. 73. Berlin: Springer-Verlag, 1980: 47–55.

    Google Scholar 

  3. Ingbar SH, Braverman LE. Werner’s The Thyroid: a Fundamental and Clinical Text. 5th ed. Philadelphia: J.B. Lippincott Company, 1986; 1329–1348.

    Google Scholar 

  4. Woolner LB, Beahrs OH, Black BM, McConahey WM, Keating FR. Classification and prognosis of thyroid carcinoma: A study of 885 cases observed in a thirty year period. Am J Surg 1961; 102: 354–387.

    Article  PubMed  CAS  Google Scholar 

  5. Young RL, Mazzaferri EL, Rahe AJ, Dorfman SG. Pure follicular thyroid carcinoma: Impact of therapy in 214 patients. J Nucl Med 1980; 21: 733–737.

    PubMed  CAS  Google Scholar 

  6. Olin RM. Iodine deficiency and prevalence of simple goiter in Michigan. JAMA 1924; 82: 1328–1332.

    CAS  Google Scholar 

  7. Brush BE, Atland JK. Goiter prevention with iodized salt: results of a thirty-year study. J Clin Endocrinol Metab 1952; 12: 1380–1388.

    Article  PubMed  CAS  Google Scholar 

  8. Beahrs OH, Pemberton J, Black BM. Nodular goiter and malignant lesions of the thyroid gland. J Clin Endocrinol Metab 1951;1157–1165.

    Google Scholar 

  9. Cuello C, Correa P, Eisenberg H. Geographic pathology of thyroid carcinoma. Cancer 1969; 23: 230–239.

    Article  PubMed  CAS  Google Scholar 

  10. Williams ED, Doriach I, Bjarnason O, Michie W. Thyroid cancer in an iodide rich area: A histopathological study. Cancer 1977; 39: 215–222.

    Article  PubMed  CAS  Google Scholar 

  11. Lindahl F. Follicular thyroid carinoma in Denmark 1943–1968. Danish Medical Bulletin 1976; 23: 107–119.

    PubMed  CAS  Google Scholar 

  12. Hirabayaghi RN, Lindsay S. The relation of thyroid carcinoma and chronic thyroiditis. Surg Gynecol Obst 1965; 121: 243–252.

    Google Scholar 

  13. Shapiro SJ, Friedman WB, Perzik SL, Catz B. Incidence of thyroid carcinoma in Graves’ disease. Cancer 1970; 26: 1261–1270.

    Article  PubMed  CAS  Google Scholar 

  14. Mazzaferri EL. Thyroid cancer and Graves’ disease. J Clin Endocrinol Metab 1990; 70: 826–829.

    Article  PubMed  CAS  Google Scholar 

  15. Belfiore A, Garofalo MR, Giuffrida D, et al. Increased aggressiveness of thyroid cancer in patients with Graves’ disease. J Clin Endocrinal Metab 1990; 70: 830–837.

    Article  CAS  Google Scholar 

  16. Stanbury, JB. Thyroid specific metabolic incompetence and tumor development. In: Hedinger CE, ed. Thyroid Cancer. Vol. 12. New York: Springer Verley, 1969: 183.

    Google Scholar 

  17. Cooper DS, Axelrod L, DeGroot LJ, Vickery AL, Maloof F. Congenital goiter and the development of metastic follicular carcinoma with evidence for a leak of non-hormonal iodide: Clinical, pathological, kinetic, and biochemical studies and a review of the literature. J Clin Endocrinol Metab 1981; 52: 294–306.

    Article  PubMed  CAS  Google Scholar 

  18. Riccabona G, Oberladstatter M, Fill H, Zechmann W, Fuchs D, Jenewein I. Incidence of thyroid cancer in families: Some case reports. Acta Endocrinol 1983. Suppl 252: 19.

    Google Scholar 

  19. Lloyd KM, Dennis M. Cowden’s Disease: a possible new complex with multiple system involvement. Ann Intern Med 1963; 58: 136–142.

    PubMed  Google Scholar 

  20. Weary PE, Gorlln RJ, Gentry WC Jr, Comer JE, Green KE. Multiple hamartoma syndrome (Cowden’s disease). Arch Dermatol 1972; 106: 682–690.

    Article  PubMed  CAS  Google Scholar 

  21. Thompson NW, Nishiyama RH, Harness JK. Thyroid carinoma: Current controversies. In: Ravitch MM, Steicher FM, eds. Current problems in Surgery 15, No. 11. Chicago: Yearbook Medical Publishers, 1978: 1–15.

    Google Scholar 

  22. Cady B, Sedgwick CD, Meissner WA, Bookwalter JR, Romagosa V, Werber J. Changing clinical, pathologic, therapeutic, and survival patterns in differentiated thyroid carcinoma. Ann Surg 1976; 184: 541–553.

    Article  PubMed  CAS  Google Scholar 

  23. Boehm T, Rothouse L, Wartofsky L. Metastatic occult follicular thyroid carcinoma. JAMA 1976; 235: 2420–2421.

    Article  PubMed  CAS  Google Scholar 

  24. Goldberg LD, Ditchek NT. Thyroid carcinoma with spinal cord compression. JAMA. 1981; 245: 953–954.

    Google Scholar 

  25. McKonnon JK, Von Westap C, Mitchell R. Follicular carcinoma of the thyroid with functioning metastases and clinical hyperthyroidism. Can Med Assoc J 1975; 112: 724–727.

    Google Scholar 

  26. Sung LC, Cavalieri RR. T3 thyrotoxicosis due to metastatic thyroid carcinoma. J Endocrinol Metab 1973; 36: 215–217.

    Article  CAS  Google Scholar 

  27. Schneider AB, Favus MJ, Stachura ME, et al. Plasma thyroglobulin in detecting thyroid carcinoma after childhood head and neck irradiation. Ann Int Med 1977; 86: 29–34.

    PubMed  CAS  Google Scholar 

  28. Bascheri L, Giani C, Taddei P, Lari R, Pinchera A. Serum thyroglobulin as a marker of thyroid carcinoma. In: Andreoli M, Monaco F, Robbins J (ed). Advances in Thyroid Neoplasia. 1981: 1182–1201.

    Google Scholar 

  29. Smith M, McHenry C, Jarosz H, Lawrence AM, Paloyan E. Carcinoma of the thyroid in patients with autonomous nodules. Am J Surg 1988; 54: 448–449.

    CAS  Google Scholar 

  30. Miyata Y, Sasaki T, Takaya K, Taguchi Y, Kasai M. New approach for diagnosis of malignant goiter using nuclear magnetic resonance. In: Medeiros-Neto G, Gaitan E, eds. Frontiers in Thyroidology. Vol. 2. New York: Plenum 1986: 1303–1307.

    Google Scholar 

  31. Galvan G. The value of the aspiration biopsy cytology for the diagnosis of thyroid malignancies. (Comparison of cytology and histology in 2744 patients with hypofunctional thyroid nodules) Acta Endocrinol 1983; 252: 55–56.

    Google Scholar 

  32. Nishiyama RH, Bigos ST, Goldfarb WB, Flynn SD, Taxiarchis LN. The efficacy of simultaneous fine needle aspiration and large-needle biopsy of the thyroid gland. Surgery 1986; 100: 1133–1137.

    PubMed  CAS  Google Scholar 

  33. Lo Gerfo P, Starker P, Weber C, Moore D, Feind C. Incidence of cancer in surgically treated thyroid nodules based on method of selection. Surgery 1985; 98: 1197–1201.

    PubMed  Google Scholar 

  34. Kung IT, Yuen RW. Fine needle aspiration of the thyroid. Distinction between colloid nodules and follicular neoplasms using cell blocks and 21-gauge needles. Acta Cytol 1989; 33: 53–60.

    PubMed  CAS  Google Scholar 

  35. Gharib H, Goellner J, Zinsmeister AR, Grant CS, Van Heerden J A. Fine needle aspiration biopsy of the thyroid. Ann Int Med 1984; 101: 25–28.

    PubMed  CAS  Google Scholar 

  36. Lang W, Georgii A, Stauch G, Kienzle E. The differentiation of atypical adenomas and encapsulated follicular carcinomas in the thyroid gland. Virchows Archiv 1980; 385: 125–141.

    CAS  Google Scholar 

  37. Hazard JB, Kenyon R. Atypical Adenoma of the Thyroid. Arch Pathol 1954; 58: 554–563.

    CAS  Google Scholar 

  38. Thompson NW, Dunn EL, Batsakis JG, Nishiyama RH. Hurtle cell lesions of the thyroid gland. Surg Gynecol Obstet 1974; 139: 555–560.

    PubMed  CAS  Google Scholar 

  39. Flynn SD, Forman BH, Stewart AF, Kinder BK. Poorly differentiated (“insular”) carcinoma of the thyroid gland: an aggressive subset of differentiated thyroid neoplasms. Surgery 1988; 104: 963–970.

    PubMed  CAS  Google Scholar 

  40. Hedinger C, Soben LH. Histological typing of thyroid tumours. In: International Histological Classification of Thyroid Tumors. No. 11. WHO, 1974: 17.

    Google Scholar 

  41. Hedinger C. Histological typing of thyroid tumors. 2nd ed. Berlin, Springer-Verlag 1988: 1–34.

    Book  Google Scholar 

  42. Franssila KO, Ackerman LV. Follicular carcinoma. Sem Diagn Pathol 1985; 2: 101–122.

    CAS  Google Scholar 

  43. Kahn NF, Perzin KH. Follicular carcinoma of the thyroid: An evaluation of the histologic criteria used for diagnosis. Pathol Annu 1983; 18 (Part l): 221–253.

    PubMed  Google Scholar 

  44. Lang W, Georgii G. The differentiation of atypical adenomas and encapsulated follicular carcinomas in the thyroid gland. Virch Arch Pathol 1980; 385: 125–141.

    CAS  Google Scholar 

  45. Lang W, Choritz H, Hundeshagen H. Risk factors in follicular thyroid carcinomas. A retrospective followup study covering a 14 year period with emphasis on morphological findings. Am J Surg Pathol 1986; 10: 246–255.

    Article  PubMed  CAS  Google Scholar 

  46. Woolner LB. Thyroid carcinoma: Pathologic consideration with data on prognois. Sem Unci Med 1971; 1: 481–502.

    Article  CAS  Google Scholar 

  47. Harach HR, Franssila KO. Thyroglobulin immunostaining in follicular thyroid carcinoma. Histopathology 1988; 13: 43–54.

    Article  PubMed  CAS  Google Scholar 

  48. Ryff de Leche A, Staub JJ, Kohler-Faden R, Muller-Brand J, Heitz PU. Thyroglobulin production by malignant thyroid tumors. An immunocytochemical and radioimmunoassay study. Cancer 1986; 57: 1145–1153.

    Google Scholar 

  49. Mizukami Y, Michigishi T, Nonomura A, et al. Distant metastases in differentiated thyroid carcinomas: A clinical and pathologic study. Hum Pathol 1990; 21: 283–290.

    Article  PubMed  CAS  Google Scholar 

  50. Joensu H, Klemi P, Eerola E. DNA aneuploidy in follicular adenomas of the thyroid gland. Am J Pathol 1986; 124: 373–376.

    Google Scholar 

  51. Johannessen JV, Sobrinho-Simoes M. Follicular carcinoma of the human thyroid gland. An ultrastructural study with emphasis on scanning electron microscopy. Diagn Histopathol 1982; 5: 113–127.

    PubMed  CAS  Google Scholar 

  52. Lukacs GL, Balazs G, Zs-Nagy I. Cytoflourimetric measurements on the DNA contents of tumor cells in human thyroid gland. J Cancer Res Clin Oncol 1979; 95: 265–271.

    Article  PubMed  CAS  Google Scholar 

  53. Grant CS, Hay ID, Ryan JJ, Bergstrah EJ, Reunwater LM, Guillnar JR. Diagnostic and prognostic utility of flow cytometric DNA measurements in follicular thyroid tumors. World Jnl of Surgery, 1990; 14: 283–289.

    Article  CAS  Google Scholar 

  54. Simpson WJ, McKinney SE, Carruthers JS, Gospodarowicz MK, Sutcliffe SB, Panzarella T. Papillary and follicular thyroid cancer. Prognostic factors in 1,578 patients. Am J Med 1987; 83: 479–488.

    Article  PubMed  CAS  Google Scholar 

  55. Cady B, Rossi R, Silverman M, Wool M. Further evidence of the validity of risk group definition in differentiated thyroid carcinoma. Surgery 1985; 98: 1171–1178.

    PubMed  CAS  Google Scholar 

  56. Schmidt RJ, Wang CA. Encapsulated follicular carcinoma of the thyroid: diagnosis, treatment, and results. Surgery 1986; 100: 1068–1077.

    PubMed  CAS  Google Scholar 

  57. Schlumberger M, Tubiana M, DeVathaire F, et al. Long term results of treatment of 283 patients with lung and bone metastases from differentiated thyroid carcinoma. JCEM 1986; 63: 960–967.

    PubMed  CAS  Google Scholar 

  58. Schlumberger M, DeVathaire F, Travagli JP, Vassal G, et al. Differentiated thyroid carcinoma in childhood: Long term follow–up of 72 patients. J Clin Endocrinol Metab 1987; 65: 1088–1094.

    Article  PubMed  CAS  Google Scholar 

  59. Tubiana M, Schlumberger M, Rougier P, et al. Long term results and prognostic factors in patient with differentiated thyroid carcinoma. Cancer 1985; 55: 794–804.

    Article  PubMed  CAS  Google Scholar 

  60. Brennan MD, Bergstrahl EJ, Van Heerden JA, McConahay WM. Follicular thyroid cancer treated at the Mayo Clinic, 1946–1970: Initial manifestations, pathological findings, therapy and outcome. Mayo Clinic Proc. 1991; 66: 11–22.

    CAS  Google Scholar 

  61. Mazzaferri EL. Treating thyroid carcinoma: Where do we draw the line? Mayo Clinic Proc. 1991; 66: 105–111.

    CAS  Google Scholar 

  62. Woolner LB, Beahrs OH, Black BM. Classification and prognosis of thyroid carcinoma: A study of 885 cases observed in a thirty year period. Am J Surg 1961; 102: 354–387.

    Article  PubMed  CAS  Google Scholar 

  63. Brooks JR, Starnes HF, Brooks DC, Pekley JN. Surgical therapy for thyroid carcinoma: a review of 1249 solitary thyroid nodules, Surgery 1988; 104: 940–946.

    PubMed  CAS  Google Scholar 

  64. Samaan NA, Schultz PN, Haynie TP, Ordonez NG. Pulmonary metastasis of differentiated thyroid carcinoma: Treatment results in 101 patients. J Clin Endocrinol Metab 1985; 60: 376–380.

    Article  PubMed  CAS  Google Scholar 

  65. Gundry SR, Burney RE, Thompson NW, Lloyd R. Total thyroidectomy for Hiirthle cell neoplasm of the thyroid. Arch Surg 1983; 118: 529–532.

    PubMed  CAS  Google Scholar 

  66. Gonzalez-Campora R, Herrero-Zapatero A, Lerma E, Sanchez F, Galera H. Hiirthle cell and mitochondrion-rich cell tumors. A clinicopathologic study. Cancer 1986; 57: 1154–1163.

    Article  PubMed  CAS  Google Scholar 

  67. Tollefren HR, Shah JP, Huvos AG. Hurtle cell carcinoma of the thyroid. Am J Surg 1975; 130: 390–394.

    Article  Google Scholar 

  68. Watson RG, Brennan MD, Goellner JR, McConahey WM, Taylor WF. Invasive Hurtle Cell Carcinoma of the Thyroid: Natural History and Management. Mayo Clin Proc 1984; 59: 851–855.

    PubMed  CAS  Google Scholar 

  69. Bondeson L, Bondeson AG, Ljunberg O, Tibblin S. Oxyphil Tumors of the Thyroid: Follow-up of 42 Surgical Cases. Ann Surg 1981; 194: 677–680.

    Article  PubMed  CAS  Google Scholar 

  70. LiVolsi VA. Surgical pathology of the thyroid gland. Philadelphia: WB Saunders 1990; 193–212.

    Google Scholar 

  71. Har-El G, Hadar T, Segl K, Levy R, Sidi J. Hiirthle cell carcinoma of the thyroid gland. A tumor of moderate malignancy. Cancer 1986; 57: 1613–1617.

    Article  PubMed  CAS  Google Scholar 

  72. Dobyns BM, Bertozzi G. Identification of cold nodules and surgical management of carcinoma of the thyroid. Ann Surg 1970; 172: 703–710.

    Article  PubMed  CAS  Google Scholar 

  73. Pochin EE. Prospects from the treatment of thyroid carcinoma with radioiodine. Clin Radiol 1967; 18: 113.

    Article  PubMed  CAS  Google Scholar 

  74. Varma VM, Beierwaltes WH, Nofal MM, Nishiyama RH, Copp JE. Treatment of thyroid cancers: Death rates after surgery and after surgery followed by sodium iodide 1–131. JAMA 1970; 214: 1437–1442.

    Article  PubMed  CAS  Google Scholar 

  75. Spies WG, Wojtowicz CH, Spies SM, Shah AY, Zimmer AM. Value of post-therapy whole-body 1–131 imaging in the evaluation of patients with thyroid carcinoma having undergone high-dose 1–131 therapy. Clin Nucl Med 1989; 14: 793–800.

    Article  PubMed  CAS  Google Scholar 

  76. Krishnamurthy GT, Blahd WH. Radioiodine 1–131 therapy in the management of thyroid cancer. Cancer 1977; 40: 195–202.

    Article  PubMed  CAS  Google Scholar 

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© 1992 Springer-Verlag New York Inc.

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Fiedler, R.P. (1992). Follicular Carcinoma of the Thyroid. In: Cobin, R.H., Sirota, D.K. (eds) Malignant Tumors of the Thyroid. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9127-2_2

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  • DOI: https://doi.org/10.1007/978-1-4613-9127-2_2

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