Papillary thyroid carcinoma in one of identical twin patients with Pendred syndrome

Pendred syndrome is an autosomal recessive disorder characterized by sensorineural deafness, a partial defect in iodide organification, and dyshormonogenetic goiter. Several cases of Pendred syndrome with follicular thyroid carcinomas were reported previously. Here we report identical twin patients...

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Published inEndocrine Journal Vol. 60; no. 6; pp. 805 - 811
Main Authors Sakurai, Kanako, Hata, Masahiro, Hishinuma, Akira, Ushijima, Ryo, Okada, Akiho, Taeda, Yoshinori, Arihara, Zenei, Fukazawa, Hiroshi, Takahashi, Kazuhiro
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Abstract Pendred syndrome is an autosomal recessive disorder characterized by sensorineural deafness, a partial defect in iodide organification, and dyshormonogenetic goiter. Several cases of Pendred syndrome with follicular thyroid carcinomas were reported previously. Here we report identical twin patients with Pendred syndrome, who had thyroid tumors with distinct histopathological findings. 34-year-old identical twins with congenital deafness and goiter were referred to our hospital with complaint of neck discomfort. The genetic testing showed that these twin patients were compound heterozygotes carrying the same two mutations in the Pendred’s syndrome (PDS / SLC26A4) gene (c2168A > G and ins2110GCTGG), which confirmed the diagnoses of Pendred syndrome. They underwent thyroidectomy. Histological examination of the thyroid tumors resected from these twin patients revealed follicular variant of papillary thyroid carcinoma, and diffuse and nodular goiter without any evidence of malignancy, respectively. To our knowledge, the former is the first case of follicular variant of papillary thyroid carcinoma in Pendred Syndrome.
AbstractList Pendred syndrome is an autosomal recessive disorder characterized by sensorineural deafness, a partial defect in iodide organification, and dyshormonogenetic goiter. Several cases of Pendred syndrome with follicular thyroid carcinomas were reported previously. Here we report identical twin patients with Pendred syndrome, who had thyroid tumors with distinct histopathological findings. 34-year-old identical twins with congenital deafness and goiter were referred to our hospital with complaint of neck discomfort. The genetic testing showed that these twin patients were compound heterozygotes carrying the same two mutations in the Pendred’s syndrome (PDS / SLC26A4) gene (c2168A > G and ins2110GCTGG), which confirmed the diagnoses of Pendred syndrome. They underwent thyroidectomy. Histological examination of the thyroid tumors resected from these twin patients revealed follicular variant of papillary thyroid carcinoma, and diffuse and nodular goiter without any evidence of malignancy, respectively. To our knowledge, the former is the first case of follicular variant of papillary thyroid carcinoma in Pendred Syndrome.
Author Hishinuma, Akira
Ushijima, Ryo
Taeda, Yoshinori
Sakurai, Kanako
Hata, Masahiro
Fukazawa, Hiroshi
Takahashi, Kazuhiro
Okada, Akiho
Arihara, Zenei
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  fullname: Sakurai, Kanako
  organization: Department of Endocrinology and Metabolism, KKR Suifu Hospital, Mito 311-4141, Japan
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  fullname: Hata, Masahiro
  organization: Department of Surgery, KKR Suifu Hospital, Mito 311-4141, Japan
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  fullname: Hishinuma, Akira
  organization: Department of Infection Control and Clinical Laboratory Medicine, Dokkyo Medical University, Tochigi 321-0293, Japan
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  fullname: Ushijima, Ryo
  organization: Department of Surgery, KKR Suifu Hospital, Mito 311-4141, Japan
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  fullname: Okada, Akiho
  organization: Department of Surgery, KKR Suifu Hospital, Mito 311-4141, Japan
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  fullname: Taeda, Yoshinori
  organization: Department of Surgery, KKR Suifu Hospital, Mito 311-4141, Japan
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  fullname: Arihara, Zenei
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  organization: Department of Endocrinology and Metabolism, KKR Suifu Hospital, Mito 311-4141, Japan
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  fullname: Takahashi, Kazuhiro
  organization: Department of Endocrinology and Applied Medical Science, Tohoku University Graduate School of Medicine, Sendai 980-8575, Japan
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Snippet Pendred syndrome is an autosomal recessive disorder characterized by sensorineural deafness, a partial defect in iodide organification, and dyshormonogenetic...
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SubjectTerms Adult
Carcinoma - complications
Carcinoma - diagnosis
Carcinoma, Papillary
Diseases in Twins - diagnosis
Dyshormonogenetic goiter
Goiter, Nodular - complications
Goiter, Nodular - diagnosis
Hearing Loss, Sensorineural - complications
Hearing Loss, Sensorineural - diagnosis
Humans
Male
Membrane Transport Proteins - genetics
Multinodular goiter
Papillary carcinoma
Pedigree
Pendred syndrome
Sulfate Transporters
Thyroid Cancer, Papillary
Thyroid Neoplasms - complications
Thyroid Neoplasms - diagnosis
Twins, Monozygotic
Title Papillary thyroid carcinoma in one of identical twin patients with Pendred syndrome
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