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Clinica Chimica Acta:用液滴数字PCR检测乳头状甲状腺癌细针穿刺液中BRAF V600E突变

2019-08-06 Gladiator MedSci原创

甲状腺乳头状癌<span lang="EN-US" style="font-size:12.0pt;mso-bidi-font-size:14.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;; mso-fareast-font-family:宋体;mso-bidi-font-family:&quot;Times New Rom

甲状腺乳头状癌(PTC) 是最常见的内分泌肿瘤,约占甲状腺癌的85%。对于PTC诊断主要以超声引导下病理评价的细针穿刺(FNA)为标准检测手段,BRAF V600E突变是PTC发生、进展及临床病理特征较差的最常见分子标志物。然而,由于FNA获得的用于病理评价或BRAF V600E突变检测的肿瘤细胞数量较少,目前需要更灵敏、准确的方法。本研究旨在探讨液滴数字PCR (ddPCR)检测PTC患者FNABRAF V600E突变的效果。

本研究纳入160例疑似甲状腺癌患者,其中146PTC患者,2例滤泡性甲状腺癌(FTC) 12例良性甲状腺肿瘤患者,根据NCCN甲状腺癌临床实践指南,经FNA活检确诊。采用ddPCR和扩增-难处理突变体系(ARMS, AmoyDx)检测BRAFV600E突变,并对检测结果进行比较。

ddPCR高重现性(CV0.01%=14.78%CV10%=4.85%)和检测灵敏度可以达到2-3拷贝/μl (0.06%)。在146PTC患者中,检测到142BRAF V600E突变,其中5ARMS阴性,2例良性。

结果表明,ddPCR检测FNA液样BRAF V600E突变的灵敏度和准确性均高于ARMS法。

原始出处:

XiaoXuXiaoweiMaDetection of BRAF V600E mutation in fine-needle aspiration fluid of papillary thyroid carcinoma by droplet digital PCR

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    2019-08-22 windight
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    2019-08-08 rgjl
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    2019-08-08 zhaojie88
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    2019-08-08 Tommy1950
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    2019-08-08 howi

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