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Endocrine Abstracts (2023) 90 P234 | DOI: 10.1530/endoabs.90.P234

1Institute of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Institute of Digestive Research, Medical Academy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Institute of Biotechnology, Life Sciences Center, Vilnius University, Vilnius, Lithuania; 4Department of Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania


Introduction: Multifocality empirically is often treated as a risk factor for aggressive course of papillary thyroid carcinoma (PTC), encouraging aggressive treatments. However, inconsistency and even contradiction in a literature is present concerning the role of tumor multifocality in clinical outcomes of PTC. Therefore, the prognostic value of multifocality of PTC remains controversial, creating a difficulty in the current clinical management.

Methods.: We analyzed miR-146b, miR-21, miR-221, miR-21, and miR-181b in formalin fixed paraffin embedded PTC tissue samples of 312 individuals and evaluated their expression relationship with multifocality of a tumor.

Results.: Multifocality was observed in 68 (21,7%) of the PTC patients. Patients with multifocal lesions had significantly lower expression of miR-21 than those with unifocal (n=224) lesions (P<0.011) in our study. MiR-146b, -221, -222, 181b expression did not statistically significantly differ between these groups.

Conclusions: Our results suggest that lower expression of miR-21 is related to multifocal lesions. Data from numerous other studies confirm that miR-21 is usually overexpressed in PTC associated with aggressive clinicopathological features. So, our findings of lower miR-21 expression let us to hypothesize, that multifocality might not be a risk factor of poor PTC prognosis.

Volume 90

25th European Congress of Endocrinology

Istanbul, Turkey
13 May 2023 - 16 May 2023

European Society of Endocrinology 

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