{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:04:34Z","timestamp":1790885074358,"version":"4.1.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Thyroid\u00ae"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      The prognostic importance of\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">RAS<\/jats:italic>\n                      mutations and their relationship to clinicopathologic parameters and outcomes in medullary thyroid carcinoma (MTC) need to be clarified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Experimental Design:<\/jats:title>\n                    <jats:p>A multicenter retrospective cohort study was performed utilizing data from 290 patients with MTC. The molecular profile was determined and associations were examined with clinicopathologic data and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      germ line mutations were detected in 40 patients (16.3%). Somatic\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">RAS<\/jats:italic>\n                      mutations occurred in 135 (46.9%) and 57 (19.8%) patients, respectively.\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      <jats:sup>M918T<\/jats:sup>\n                      was the most common somatic\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      mutation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200975).\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      somatic mutations were associated with male sex, larger tumor size, advanced American Joint Committee Cancer (AJCC) stage, vascular invasion, and high International Medullary Thyroid Carcinoma Grading System (IMTCGS) grade. When compared with other\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      somatic mutations,\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      <jats:sup>M918T<\/jats:sup>\n                      was associated with younger age, AJCC (eighth edition) IV, vascular invasion, extrathyroidal extension, and positive margins.\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      somatic or germ line mutations were significantly associated with reduced distant metastasis-free survival on univariate analysis, but there were no significant independent associations on multivariable analysis, after adjusting for tumor grade and stage. There were no significant differences in outcomes between\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      somatic and\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      germ line mutations, or between\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      <jats:sup>M918T<\/jats:sup>\n                      and other\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      mutations. Other recurrent molecular alterations included\n                      <jats:italic toggle=\"yes\">TP53<\/jats:italic>\n                      (4.2%),\n                      <jats:italic toggle=\"yes\">ARID2<\/jats:italic>\n                      (2.9%),\n                      <jats:italic toggle=\"yes\">SETD2<\/jats:italic>\n                      (2.9%),\n                      <jats:italic toggle=\"yes\">KMT2A<\/jats:italic>\n                      (2.9%), and\n                      <jats:italic toggle=\"yes\">KMT2C<\/jats:italic>\n                      (2.9%). Among them,\n                      <jats:italic toggle=\"yes\">TP53<\/jats:italic>\n                      mutations were associated with decreased overall survival (OS) and disease-specific survival (DSS), independently of tumor grade and AJCC stage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      somatic mutations were associated with high-grade, aggressive primary tumor characteristics, and decreased distant metastatic-free survival but this relationship was not significant after accounting for tumor grade and disease stage.\n                      <jats:italic toggle=\"yes\">RET<\/jats:italic>\n                      <jats:sup>M918T<\/jats:sup>\n                      was associated with aggressive primary tumors but was not independently associated with clinical outcomes.\n                      <jats:italic toggle=\"yes\">TP53<\/jats:italic>\n                      mutation may represent an adverse molecular event associated with decreased OS and DSS in MTC, but its prognostic value needs to be confirmed in future studies.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/thy.2023.0279","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T06:23:32Z","timestamp":1697437412000},"page":"167-176","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["Association of the Genomic Profile of Medullary Thyroid Carcinoma with Tumor Characteristics and Clinical Outcomes in an International Multicenter Study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4638-9835","authenticated-orcid":false,"given":"Bin","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Pathology and Laboratory Medicine; 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