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Utility of galectin 3 expression in thyroid aspirates as a diagnostic marker in differentiating benign from malignant thyroid neoplasms.

AbstractGalectin-3 is a 31kD beta-galactoside binding lectin, which is known to be expressed in various neoplasms including thyroid tumors. This study was conducted to study the role of galectin-3 in differentiating benign from malignant thyroid nodules onfine needle aspirates (FNAC). Galectin-3 immuocytochemistry was performed in 70 cases with adequate smears. The cytology diagnosis of these cases was: papillary carcinoma (25), follicular neoplasm (16), adenomatous goiter (20), hyperplastic nodule (5), medullary carcinoma (5) and anaplastic carcinoma (1). Galectin-3 positivity was seen in 80% of papillary carcinomas, 37.5% offollicular neoplasms and in 60% of benign nodules. The single case of anaplastic carcinoma was positive but all the cases of medullary carcinoma were negativefor galectin-3. Three of thefollicular neoplasms that were diagnosed on histology as carcinoma were positive on cytology and one case offollicular adenoma was also positive. Our study shows that galectin-3 is strongly expressed in smears of papillary carcinoma. However, since it is also expressed in a variety of benign lesions, its role as a pre-surgical markerfor differentiating benignfrom malignant thyroid nodules is limited.
AuthorsManju Aron, Kusum Kapila, Kusum Verma (Affiliation: Department of Pathology, All India Institute of Medical Sciences, New Delhi. manjuaron at yahoo.com)
JournalIndian journal of pathology & microbiology (Indian J Pathol Microbiol) Vol. 49 Issue 3 Pg. 376-80 (Jul 2006) ISSN: 0377-4929 India
PMID17001889 (Publication Type: Journal Article)
Chemical References
  • Galectin 3
  • Tumor Markers, Biological
Topics
  • Academies and Institutes
  • Adenoma (diagnosis, metabolism, pathology)
  • Adult
  • Biopsy, Fine-Needle
  • Carcinoma (diagnosis, metabolism, pathology)
  • Diagnosis, Differential
  • Female
  • Galectin 3 (metabolism)
  • Humans
  • Hyperplasia (metabolism)
  • Immunohistochemistry
  • India
  • Male
  • Middle Aged
  • Prospective Studies
  • Thyroid Gland (pathology)
  • Thyroid Neoplasms (diagnosis, metabolism, pathology)
  • Tumor Markers, Biological (metabolism)