4.7 Article

Distinct Clinical, Serological, and Sonographic Characteristics of Hashimoto's Thyroiditis Based with and without IgG4-Positive Plasma Cells

期刊

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
卷 95, 期 3, 页码 1309-1317

出版社

ENDOCRINE SOC
DOI: 10.1210/jc.2009-1794

关键词

-

向作者/读者索取更多资源

Context: IgG4-related sclerosing disease is a new syndrome characterized by high serum IgG4 levels and increased IgG4-positive plasma cells in the involved organs. Recently the first description was made by our group of a subsection of Hashimoto's autoimmune thyroiditis (HT) patients showing indistinguishable histopathological features with IgG4-related sclerosing disease, which was termed as IgG4 thyroiditis. Objective: The objective of the study was analysis of the immunophenotypic features of IgG4 in 70 cases of HT patients and to clarify the histopathological and clinical characteristics of the patients with IgG4 thyroiditis. Design: Thyroid tissue samples were obtained from 70 patients with HT who were treated surgically. Quantitative analyses of the expression of IgG4 and IgG were performed. Statistical analyses of clinical and histopathological parameters were also conducted. Results: On the basis of immunohistochemistry of IgG4 and IgG4/IgG ratio, the 70 patients with HT were divided into two groups: IgG4 thyroiditis (19 cases) and non-IgG4 thyroiditis (51 cases). Histopathologically, IgG4 thyroiditis showed higher grade of stromal fibrosis, lymphoplasmacytic infiltration, and follicular cell degeneration than non-IgG4 thyroiditis. Moreover, these two groups were also demonstrated to be related with different clinical features, with IgG4 thyroiditis associated more with male gender, rapid progress, subclinical hypothyroidism, more diffuse low echogenicity, and higher level of circulating antibodies. Conclusions: From both clinical and histopathological aspects, IgG4 thyroiditis and non-IgG4 thyroiditis were demonstrated to be distinct entities. Measuring serum IgG4 concentration provides a useful method of distinguishing IgG4 thyroiditis from non-IgG4 thyroiditis. (J Clin Endocrinol Metab 95: 1309-1317, 2010)

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Surgery

Needle Tract Implantation Following Fine-Needle Aspiration of Thyroid Cancer

Toshitetsu Hayashi, Mitsuyoshi Hirokawa, Miyoko Higuchi, Takumi Kudo, Yasuhiro Ito, Akira Miyauchi

WORLD JOURNAL OF SURGERY (2020)

Article Medical Laboratory Technology

Risk of malignancy and clinical outcomes of cyst fluid only nodules in the thyroid based on ultrasound and aspiration cytology

Risa Kanematsu, Mitsuyoshi Hirokawa, Miyoko Higuchi, Ayana Suzuki, Hitomi Aga, Aki Tanaka, Naoki Yamao, Toshitetsu Hayashi, Seiji Kuma, Akira Miyauchi

DIAGNOSTIC CYTOPATHOLOGY (2020)

Review Pathology

Clinicopathological features of primary thyroid Burkitt's lymphoma: a systematic review and meta-analysis

Toshitetsu Hayashi, Mitsuyoshi Hirokawa, Seiji Kuma, Miyoko Higuchi, Ayana Suzuki, Risa Kanematsu, Takumi Kudo, Naomi Katsuki, Reiji Haba, Akira Miyauchi

DIAGNOSTIC PATHOLOGY (2020)

Article Cell Biology

Thyroid Tubercle of Zuckerkandl May Not Arise from the Ultimobranchial Body: Results from Histological Analysis

Miyoko Higuchi, Mitsuyoshi Hirokawa, Ayana Suzuki, Hiroo Masuoka, Akira Miyauchi

PATHOBIOLOGY (2020)

Article Medical Laboratory Technology

Cytologic diagnosis of medullary thyroid carcinoma in theAsia-Pacificregion

Chih-Yi Liu, Andrey Bychkov, Shipra Agarwal, Yun Zhu, Jen-Fan Hang, Chiung-Ru Lai, Hee Young Na, Weiwei Li, Zhiyan Liu, Deepali Jain, Ayana Suzuki, Mitsuyoshi Hirokawa, Noel Chia, Min En Nga, Tikamporn Jitpasutham, Somboon Keelawat, So Yeon Park, Shinya Satoh, Chien-Chin Chen, Dilini Gunawardena, Priyanthi Kumarasinghe, Chan Kwon Jung, Kennichi Kakudo

Summary: This study summarizes the handling of MTC in contemporary Asian thyroid FNA practice. Although the detection rate of MTC by cytology alone is less satisfactory, integration with ancillary tests could achieve an excellent performance. Recognition of constitutive cytomorphologic features is necessary for each cytopreparatory method, which may lead to a lower threshold for further MTC workup.

DIAGNOSTIC CYTOPATHOLOGY (2021)

Article Medical Laboratory Technology

Fine-needle aspiration of parathyroid adenomas: Indications as a diagnostic approach

Ayana Suzuki, Mitsuyoshi Hirokawa, Risa Kanematsu, Aki Tanaka, Naoki Yamao, Miyoko Higuchi, Toshitetsu Hayashi, Seiji Kuma, Akihiro Miya, Akira Miyauchi

Summary: Fine-needle aspiration (FNA) is a useful tool for determining suspected parathyroid adenoma (PA) nodules, with cytological features such as wedge pattern and salt and pepper chromatin being prominent. Diagnostic cytological indicators of PA include wedge pattern, salt and pepper chromatin, with PTH measurements and GATA-3 immunocytochemistry recommended for PA-suspected nodules.

DIAGNOSTIC CYTOPATHOLOGY (2021)

Article Endocrinology & Metabolism

Indications and Strategy for Active Surveillance of Adult Low-Risk Papillary Thyroid Microcarcinoma: Consensus Statements from the Japan Association of Endocrine Surgery Task Force on Management for Papillary Thyroid Microcarcinoma

Iwao Sugitani, Yasuhiro Ito, Dai Takeuchi, Hirotaka Nakayama, Chie Masaki, Hisakazu Shindo, Masanori Teshima, Kazuhiko Horiguchi, Yusaku Yoshida, Toshiharu Kanai, Mitsuyoshi Hirokawa, Kiyomi Y. Hames, Isao Tabei, Akira Miyauchi

Summary: The management of patients with low-risk papillary thyroid microcarcinoma (PTMC; T1aN0M0) has become an important clinical issue, with the adoption of active surveillance (AS) to avoid overtreatment gradually increasing worldwide. However, not all PTMCs are suitable for AS, and the Japan Association of Endocrine Surgery has produced consensus statements regarding indications and strategies for AS in adult patients diagnosed with low-risk PTMC. These statements provide guidelines for AS and recommend immediate surgery for certain high-risk features in PTMC patients.

THYROID (2021)

Article Endocrinology & Metabolism

Papillary Thyroid Carcinoma in Ukraine After Chernobyl and in Japan After Fukushima: Different Histopathological Scenarios

Tetiana I. Bogdanova, Vladimir A. Saenko, Yuko Hashimoto, Mitsuyoshi Hirokawa, Liudmyla Yu. Zurnadzhy, Toshitetsu Hayashi, Masahiro Ito, Manabu Iwadate, Norisato Mitsutake, Tatiana I. Rogounovitch, Atsuhiko Sakamoto, Hiroshi Naganuma, Akira Miyauchi, Mykola D. Tronko, Geraldine Thomas, Shunichi Yamashita, Shinichi Suzuki

Summary: Ukrainian radiogenic PTCs exhibited higher invasiveness and tumor growth patterns compared to sporadic PTCs, while no significant differences were observed in Japanese groups. These findings strongly suggest a non-radiogenic etiology of PTC in Fukushima and other Prefectures.

THYROID (2021)

Article Medicine, General & Internal

Constitutive Cytomorphologic Features of Medullary Thyroid Carcinoma Using Different Staining Methods

Chih-Yi Liu, Chien-Chin Chen, Andrey Bychkov, Shipra Agarwal, Yun Zhu, Jen-Fan Hang, Chiung-Ru Lai, Hee Young Na, So Yeon Park, Weiwei Li, Zhiyan Liu, Deepali Jain, Ayana Suzuki, Mitsuyoshi Hirokawa, Noel Chia, Min En Nga, Tikamporn Jitpasutham, Somboon Keelawat, Shinya Satoh, Dilini Gunawardena, Priyanthi Kumarasinghe, Chan Kwon Jung, Kennichi Kakudo

Summary: A retrospective study on MTC cases from 13 hospitals in 8 Asia-Pacific countries compared cytomorphologic features of MTC using different staining methods on FNA slides, revealing common cytologic characteristics. The study proposed a feasible scoring system based on cytomorphologic data for achieving accurate diagnosis.

DIAGNOSTICS (2021)

Article Endocrinology & Metabolism

Autoimmune thyroid disease and thyroid function test fluctuations in patients with resistance to thyroid hormone

Mikiko Okazaki-Hada, Eijun Nishihara, Mako Hisakado, Takumi Kudo, Mitsuru Ito, Shuji Fukata, Mitsushige Nishikawa, Takashi Akamizu, Akira Miyauchi

Summary: This study investigated the clinical characteristics and related findings of patients with mutations in the thyroid hormone receptor beta gene. The results revealed a higher prevalence of autoimmune thyroid disease in male patients compared to their unaffected relatives. Furthermore, more than 20% of patients exhibited laboratory results inconsistent with the typical features of the disease during follow-up.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2022)

Article Cell Biology

Papillary Thyroid Carcinoma with Honeycomb-Like Growth: Clinicopathological Characteristics and Diagnostic Significance as a Novel Variant

Mitsuyoshi Hirokawa, Miyoko Higuchi, Ayana Suzuki, Toshitetsu Hayashi, Seiji Kuma, Akira Miyauchi

Summary: This study aimed to clarify the clinical and pathological characteristics of papillary thyroid carcinoma (PTC) with unique honeycomb-like growth (HLG). Two subtypes of PTC-HLG were identified: pure type and mixed type. The pure type tended to be nonaggressive and clinically interpreted as benign, whereas the mixed type showed slightly aggressive behavior compared to conventional PTCs.

PATHOBIOLOGY (2021)

Article Endocrinology & Metabolism

Association between serum thyroid hormone balance and thyroid volume in patients treated with levothyroxine monotherapy for hypothyroidism

Sawako Takahashi, Mitsuru Ito, Yuzuki Masaki, Mikiko Hada, Mizuho Minakata, Kazuyoshi Kohsaka, Tomohiko Nakamura, Toshihiko Kasahara, Takumi Kudo, Eijun Nishihara, Shuji Fukata, Mitsushige Nishikawa, Takashi Akamizu, Akira Miyauchi

Summary: Research investigated the relationship between thyroid volume and thyroid hormone status in Hashimoto thyroiditis patients on levothyroxine (LT4) treatment. The study found that increasing thyroid volume led to higher serum levels of FT3 and FT3/FT4 ratio. Mild thyrotropin suppression with LT4 was needed for patients with smaller thyroid volumes to achieve normal FT3 levels.

ENDOCRINE JOURNAL (2021)

Article Endocrinology & Metabolism

Proposal of diagnostic criteria for IgG4-related thyroid disease

Ken Takeshima, Yaqiong Li, Kennichi Kakudo, Mitsuyoshi Hirokawa, Eijun Nishihara, Akira Shimatsu, Yutaka Takahashi, Takashi Akamizu

Summary: Patients with IgG4-related thyroid disease (IgG4-RTD) are diagnosed based on five criteria, including thyroid enlargement, hypoechoic lesions on ultrasound, elevated serum IgG4 levels, histopathological findings, and involvement of other organs. These criteria help ensure accurate diagnosis of IgG4-RTD and can aid in differentiating it from other conditions.

ENDOCRINE JOURNAL (2021)

Article Biology

Microarray analysis of formalin-fixed, paraffin-embedded follicular thyroid carcinoma samples from patients who developed postoperative distant metastasis

Tomoo Jikuzono, Tomoko Ishikawa, Mitsuyoshi Hirokawa, Iwao Sugitani, Osamu Ishibashi

BMC RESEARCH NOTES (2020)

Review Surgery

The Japanese reporting system for thyroid aspiration cytology 2019 (JRSTAC2019)

Mitsuyoshi Hirokawa, Ayana Suzuki, Miyoko Higuchi, Toshitetsu Hayashi, Seiji Kuma, Yasuhiro Ito, Akira Miyauchi

GLAND SURGERY (2020)

暂无数据