Abstract
Alström syndrome (AS) is an autosomal recessive disorder, characterized by cone-rod dystrophy, sensorineural hearing loss, obesity, hyperinsulinemia with insulin resistance, type 2 diabetes mellitus and progressive pulmonary, hepatic and renal dysfunction. AS is caused by mutations in the ALMS1 gene, located on the short arm of chromosome 2. We report a 35-year-old woman with known history of AS, who developed a follicular variant of papillary thyroid carcinoma. To our knowledge this is the first association of AS with thyroid malignancy, among the approximately 450 cases reported since the first description of the syndrome. We conclude that papillary thyroid carcinoma should be considered in the differential diagnosis of thyroid nodules in patients with AS.
Similar content being viewed by others
References
Marshall JD, Maffei P, Collin GB, Naggert JK (2011) Alstrom syndrome: genetics and clinical overview. Curr Genomics 12(3):225–235. doi:10.2174/138920211795677912
Alstrom CH, Hallgren B, Nilsson LB, Asander H (1959) Retinal degeneration combined with obesity, diabetes mellitus and neurogenous deafness: a specific syndrome (not hitherto described) distinct from the Laurence–Moon–Bardet–Biedl syndrome: a clinical, endocrinological and genetic examination based on a large pedigree. Acta Neurol Scand Suppl 129:1–35
Marshall JD, Beck S, Maffei P, Naggert JK (2007) Alstrom syndrome. Eur J Hum Genet 15(12):1193–1202. doi:10.1038/sj.ejhg.5201933
Sheck L, Al-Taie R, Sharp D, Vincent A (2011) Alstrom syndrome—an uncommon cause of early childhood retinal dystrophy. BMJ Case Rep. doi:10.1136/bcr.06.2011.4388
Farmer A, Ayme S, de Heredia ML et al (2013) EURO-WABB: an EU rare diseases registry for Wolfram syndrome, Alstrom syndrome and Bardet–Biedl syndrome. BMC Pediatr 13:130. doi:10.1186/1471-2431-13-130
Marshall JD, Muller J, Collin GB et al (2015) Alström syndrome: mutation spectrum of ALMS1. Hum Mutat. doi:10.1002/humu.22796
Li G, Vega R, Nelms K et al (2007) A role for Alström syndrome protein, Alms1, in kidney ciliogenesis and cellular quiescence. PLoS Genet 3(1):e8. doi:10.1371/journal.pgen.0030008
Seeger-Nukpezah T, Little JL, Serzhanova V, Golemis EA (2013) Cilia and cilia-associated proteins in cancer. Drug Discov Today Dis Mech 10(3):e135–e142
Lloyd RV, Buehler D, Khanafshar E (2011) Papillary thyroid carcinoma variants. Head Neck Pathol 5(1):51–56. doi:10.1007/s12105-010-0236-9
Becker KL (2001) Principles and practice of endocrinology and metabolism. Lippincott Williams and Wilkins, Philadelphia, p 385
Winer DA, Winer S, Rotstein L, Asa SL, Mete O (2012) Villous papillary thyroid carcinoma: a variant associated with marfan syndrome. Endocr Pathol 23(4):254–259. doi:10.1007/s12022-012-9219-6
Moberg E, Hjerpe E, Ehrsson R, Möller C, Angelin B (2009) Is endometroid cancer of the ovaries a late manifestation of Alström syndrome? J Intern Med 265(2):296–298
Chen B-H, Chiou S-S, Tsai R-K, Lin Y-F, Wu J-R (2000) Acute lymphoblastic leukemia in one of two siblings with Alstrom syndrome. J Formos Med Assoc 99(10):792–795
Zidan J, Karen D, Stein M, Rosenblatt E, Basher W, Kuten A (2003) Pure versus follicular variant of papillary thyroid carcinoma. Cancer 97(5):1181–1185. doi:10.1002/cncr.11175
Xu CX, Zhu HH, Zhu YM (2014) Diabetes and cancer: associations, mechanisms, and implications for medical practice. World J Diab 5(3):372–380. doi:10.4239/wjd.v5.i3.372
Shih SR, Chiu WY, Chang TC, Tseng CH (2012) Diabetes and thyroid cancer risk: literature review. Exp Diab Res 2012:578285. doi:10.1155/2012/578285
Sahin M, Ucan B, Ginis Z et al (2013) Vitamin D3 levels and insulin resistance in papillary thyroid cancer patients. Med Oncol (Northwood, London, England) 30(2):589. doi:10.1007/s12032-013-0589-5
Tseng CH (2012) Thyroid cancer risk is not increased in diabetic patients. PLoS One 7(12):e53096. doi:10.1371/journal.pone.0053096
Kakudo K, Bai Y, Liu Z, Ozaki T (2012) Encapsulated papillary thyroid carcinoma, follicular variant: a misnomer. Pathol Int 62(3):155–160. doi:10.1111/j.1440-1827.2011.02773.x
Kakudo K, Bai Y, Liu Z, Li Y, Ito Y, Ozaki T (2012) Classification of thyroid follicular cell tumors: with special reference to borderline lesions. Endocr J 59(1):1–12
Oertli D, Udelsman R (2012) Surgery of the thyroid and parathyroid glands. Springer, Berlin
Conflict of interest
The authors declare no conflicts of interest.
Compliance with ethical standards
The manuscript complies to the Ethical Rules applicable for this journal.
Informed consent
Informed consent was obtained by patient concerning the present publication.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Papadakis, M., Meyer, A., Schuster, F. et al. Follicular variant of papillary thyroid cancer in Alström syndrome. Familial Cancer 14, 599–602 (2015). https://doi.org/10.1007/s10689-015-9816-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10689-015-9816-x