KEGG   DISEASE: Medullary thyroid cancer
Entry
H01592                      Disease                                
Name
Medullary thyroid cancer
Description
Medullary thyroid carcinoma (MTC) is a malignant tumor originating from thyroid parafollicular C cells and accounts for only <5% of thyroid cancers, but it causes a disproportionate number of thyroid cancer deaths due to its more aggressive clinical behavior compared with well-differentiated papillary and follicular thyroid carcinomas. A subset of MTC cases is hereditary and due to germline mutations in the RET tyrosine kinase receptor gene. Somatic mutations in either RET or RAS are also present in most sporadic tumors. In MTC, RET mutations lead to substrate-independent dimerization of the receptor causing constitutive activation, unrestricted signaling, and ultimately, cancer.
Category
Cancer
Brite
Human diseases in ICD-11 classification [BR:br08403]
 02 Neoplasms
  Malignant neoplasms, except primary neoplasms of lymphoid, haematopoietic, central nervous system or related tissues
   Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic, central nervous system or related tissues
    Malignant neoplasms of endocrine glands
     2D10  Malignant neoplasms of thyroid gland
      H01592  Medullary thyroid cancer
Pathway-based classification of diseases [BR:br08402]
 Signal transduction
  nt06526  MAPK signaling
   H01592  Medullary thyroid cancer
Tumor markers [br08442.html]
 H01592
Pathway
hsa04010  MAPK signaling pathway
Network
nt06526 MAPK signaling
Gene
RET [HSA:5979] [KO:K05126]
HRAS [HSA:3265] [KO:K02833]
KRAS [HSA:3845] [KO:K07827]
Drug
Vandetanib [DR:D06407]
Cabozantinib s-malate [DR:D10095]
Selpercatinib [DR:D11713] (RET mutant)
Pralsetinib [DR:D11712] (RET mutant)
Other DBs
ICD-11: 2D10.4
ICD-10: C73
MeSH: C536914
Reference
  Authors
Chernock RD, Hagemann IS
  Title
Molecular pathology of hereditary and sporadic medullary thyroid carcinomas.
  Journal
Am J Clin Pathol 143:768-77 (2015)
DOI:10.1309/AJCPHWACTTUYJ7DD
Reference
  Authors
Pusztaszeri MP, Bongiovanni M, Faquin WC
  Title
Update on the cytologic and molecular features of medullary thyroid carcinoma.
  Journal
Adv Anat Pathol 21:26-35 (2014)
DOI:10.1097/PAP.0000000000000004
Reference
  Authors
Trimboli P, Giovanella L, Crescenzi A, Romanelli F, Valabrega S, Spriano G, Cremonini N, Guglielmi R, Papini E
  Title
Medullary thyroid cancer diagnosis: an appraisal.
  Journal
Head Neck 36:1216-23 (2014)
DOI:10.1002/hed.23449
Reference
  Authors
Raue F, Frank-Raue K
  Title
Epidemiology and Clinical Presentation of Medullary Thyroid Carcinoma.
  Journal
Recent Results Cancer Res 204:61-90 (2015)
DOI:10.1007/978-3-319-22542-5_3
Reference
  Authors
Maxwell JE, Sherman SK, O'Dorisio TM, Howe JR
  Title
Medical management of metastatic medullary thyroid cancer.
  Journal
Cancer 120:3287-301 (2014)
DOI:10.1002/cncr.28858
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