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46th Annual Meeting of the European Thyroid Association (ETA) 2024

Oral Presentations

Oral Session 6: Translational thyroid cancer research

ea0101op-06-01 | Oral Session 6: Translational thyroid cancer research | ETA2024

The role of TPO antibodies in immune escape of aggressive tumors of thyroid follicular cells

Paparodis Rodis , Karvounis Evangelos , Kapezanou Aikaterini , Bantouna Dimitra , Livadas Sarantis , Simeakis George , Askitis Dimitrios , Androulakis Ioannis , Angelopoulos Nikolas , Zianni Dimitra , Perogamvros Ilias , Boniakos Anastasios , Rizoulis Andreas , Imam Shahnawaz , Jaume Juan

Introduction: Our previous observations suggested that high titers TPO antibodies titers limit the extent of differentiated thyroid cancer.1 Other studies found an opposite effect, especially when it comes to indolent tumors. We designed the present study to assess whether TPO antibodies have differential effects on the expansion/progression of aggressive (AGG) as opposed to non-aggressive (NAG) tumors of follicular cells origin (TCFO).Methods...

ea0101op-06-02 | Oral Session 6: Translational thyroid cancer research | ETA2024

Clinical utility of circulating tumoral dna analysis by multi-gene ngs panels in therapy monitoring of advanced sporadic medullary thyroid carcinoma patients

Ciampi Raffaele , Ramone Teresa , Matrone Antonio , Prete Alessandro , Gambale Carla , Casalini Roberta , Romei Cristina , Panebianco Federica , Elisei Rossella

Objectives: In the personalized medicine era, application of multi-gene Next Generation Sequencing (NGS) panels may be used to analyze plasma circulating tumoral DNA (ctDNA) obtained by liquid biopsies of tumor patients improving management of patients undergoing targeted therapy. This analysis may identify genetic alterations responsible for response and/or resistance during target therapy and may be useful in identifying other biomarkers. Aim of this study was to evaluate th...

ea0101op-06-03 | Oral Session 6: Translational thyroid cancer research | ETA2024

Digoxin treatment does not reinduce uptake of radioiodine in metastatic radioiodine refractory non-medullary thyroid carcinoma

van Houten Pepijn , Nagarajah James , Walraven Janneke , Jaeger Martin , van Engen-van Grunsven Ilse , Smit Johannes , Teodora Netea-Maier Romana

Objective: Patients with non-medullary thyroid carcinoma (NMTC) that are refractory to radioactive iodine (RAI) have a bad prognosis. For these patients, treatment options are limited. RAI refractoriness is the result of reduced RAI uptake by NMTC cells, caused by loss of function of the Na/I symporter. Strategies for restoring the ability of NMTC cells to take up RAI, so called “redifferentiation”, are promising treatment modalities. Preclinical studies have shown t...

ea0101op-06-04 | Oral Session 6: Translational thyroid cancer research | ETA2024

Clinically relevant germline genetic variants and somatic fusions underlying paediatric thyroid cancer risk and aggressiveness

Pires Carolina , Laine Hugo , C. Ehlers Anna , Saramago Ana , Moura Margarida M. , Pojo Marta , Cabrera Rafael , Hamelmann Stefan , Schrimpf Daniel , Matthiesen Rune , Leite Valeriano , Lilue Jingtao , Sahm Felix , Nunes da Silva Tiago , Grunewald Thomas G. P. , Cavaco Branca

Introduction: Paediatric thyroid cancer (TC) is characterised by higher aggressiveness and recurrence rates compared to adult TC. The risk stratification system for paediatric TC is simplified relative to that of adults. Paediatric tumours mostly harbour gene fusions, while adult TC frequently present oncogenic point mutations. Yet, 40-50% of genomic alterations driving tumourigenesis and conferring aggressiveness to radiation-unrelated paediatric papillary TC (PTC) remain unk...

ea0101op-06-05 | Oral Session 6: Translational thyroid cancer research | ETA2024

Molecular profiling of low-risk papillary thyroid carcinomas (MPTC) on active surveillance

Ghirri Arianna , Ramone Teresa , Prete Alessandro , Scutari Maria , Rago Teresa , Ciampi Raffaele , Romei Cristina , Materazzi Gabriele , Elisei Rossella , Molinaro Eleonora

Introduction: active surveillance (AS) is feasible and safe for low-risk papillary thyroid carcinoma with diameter ≤ 1.3 cm (mPTC), as this type of cancer shows a low percentage of progression. At the present time, there are no prognostic factors which could help to identify mPTCs at higher risk of progression. The aim of this prospective study is to find a specific molecular signature of cases that showed disease progression during AS and which would allow their early i...

ea0101op-06-06 | Oral Session 6: Translational thyroid cancer research | ETA2024

Clinical implications of the gut microbiome in anaplastic thyroid cancer

Abubaker Ahmad , Neale Zoey , Hoballah Yasmine , Mosaic Team Patient , Anaplastic thyroid cancer Specialized Treatment Consortium Facilitating , Wargo Jennifer , Lai Stephen , Ajami Nadim , Maniakas Anastasios

Background: Despite the use of aggressive, multimodal therapy (surgery + radiation therapy + systemic therapy), management of advanced thyroid cancers such as anaplastic thyroid cancer (ATC) remains a major challenge. Identifying predictive biomarkers of treatment response are primordial to improving overall survival for patients with ATC. Gut microbiota have been linked to both treatment response and levels of adverse effects to treatment in cancers such as melanoma or colore...

ea0101op-06-07 | Oral Session 6: Translational thyroid cancer research | ETA2024

Performance of the mir-thype new version algorithm in classification of thyroid indeterminate nodules: latin american multicenter validation study

Marcos Tadeu Santos , Andrei Felix Oliveira , Diego Nogueira Vilela , Bruna Moretto Rodrigues , Miriane Oliveira , Eduardo Silva , Cristiano Oliveira , Rozany Mucha Dufloth , Fernando Augusto Soares , Leandra Schneider , Mario Rodrigues Montemor Netto , Milena Massumi Kozonoe , Sergio Ossamu Ioshii , Ricardo Ribeiro Gama , Acklei Viana , Daniel Knabben Ortellado , Gustavo Philippi de Los Santos , Jalmir Rogerio Aust , Giulianno Molina Melo , Rubens Adao Silva , David Livingstone Alves Figueiredo , Miluska Huachin Soto , Mauro Tadeu Ajaj Saieg , Fabiano Mesquita Callegari , Lea Maria Zanini Maciel , Glaucia Maria F. da Silva Mazeto , Gabriela Brenta , Edna Teruko Kimura

Background: Thyroid nodules are present in nearly 60% of the population, representing the most frequent endocrine disease. Fine-needle aspiration (FNA) cytopathology classifies 20%–30% of nodules as indeterminate (Bethesda 3 and 4), a scenario in which molecular tests are recommended aiming to avoid unnecessary diagnostic surgeries.Objective: The aim was to evaluate the diagnostic performance of the new v2 algorithm of mir-THYpe full molecular class...