Detection and prognostic relevance of cytokeratin 20 in differentiated and anaplastic thyroid carcinomas by RT-PCR

Friedrich Hubertus Schmitz-Winnenthal, Heldgard Weckauf, Sabine Haufe, Ulf Hinz, Kaspar Z'graggen, Ernst Klar, Markus W. Büchler, Theresia Weber, Michael J. Demeure, Orlo H. Clark, Petra B. Musholt, Theresia Weber, Fiemu Nwariaku

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7 Scopus citations

Abstract

Background. Metastatic disease in epithelial cancer results from tumor cell dissemination. We investigated an expression of cytokeratin 20 (CK20) by reverse transcriptase-polymerase chain reaction (RT-PCR) in differentiated (DTC) and anaplastic thyroid carcinomas (ATC) and correlated the results with TNM categories and the clinical follow-up. Methods. Tissue and blood samples of 32 patients with papillary (PTC), 17 patients with follicular (FTC), and 7 patients with ATC were obtained during operation and subjected to CK20 RT-PCR. Results. An expression of CK20 transcripts was detected in 47% of the tissue samples of PTC, 71% of the FTC, and 14% of the ATC. Patients with CK20-positive FTC had a significantly better outcome than patients with CK20-negative FTCs (P = .0016). Disseminated tumor cells were found in 9 of 22 (41%) blood samples of patients with CK20-positive carcinomas. The detection of CK20 transcripts in peripheral blood correlated with tumor categories. Four of 8 (50%) patients with DTC and circulating tumor cells developed local or distant recurrence compared with 3 of 13 (23%) patients with CK20-positive carcinomas and CK20-negative blood samples. Conclusion. Our results suggest that CK20 might be a suitable differentiation marker in thyroid carcinomas. In patients with CK20-positive tumors, those with CK20-posilive blood samples had a poorer prognosis. We suggest that patients with thyroid cancer with positive CK20 blood samples should be evaluated for further adjuvant therapies after surgery.

Original languageEnglish (US)
Pages (from-to)964-971
Number of pages8
JournalSurgery
Volume134
Issue number6
DOIs
StatePublished - Dec 2003

ASJC Scopus subject areas

  • Surgery

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    Schmitz-Winnenthal, F. H., Weckauf, H., Haufe, S., Hinz, U., Z'graggen, K., Klar, E., Büchler, M. W., Weber, T., Demeure, M. J., Clark, O. H., Musholt, P. B., Weber, T., & Nwariaku, F. (2003). Detection and prognostic relevance of cytokeratin 20 in differentiated and anaplastic thyroid carcinomas by RT-PCR. Surgery, 134(6), 964-971. https://doi.org/10.1016/S0039-6060(03)00428-8