Hashimoto’s disease as a risk factor for developing papillary thyroid cancer
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Collegium Medicum w Bydgoszczy, UMK w Toruniu Wydział Lekarski, Polska
Med Og Nauk Zdr. 2019;25(1):12–15
Already in 1955, Hashimoto disease, which is the most common autoimmune disease, was associated with the most common thyroid cancer – papillary thyroid cancer (PTC). Despite the passage of years and many intensive scientific studies on the relationship between these two diseases, the mechanism and the basis on which Hashimoto’s disease predisposes to PTC has still not been established.

The aim of the study is to summarize the current state of knowledge on mechanisms by which HT may predispose to the development of PTC, and present the latest clinical trials confirming that HT is a risk factor for PTC, and describe its possible impact on the course of the disease.

Brief description of the state of knowledge:
The study concerns the inflammatory, immunological and genetic mechanisms that may be significantly related to the predisposition of HT patients to the development of PTC. Recent studies have shown that the RET / PTC oncogene or p63 protein can combine HT with PTC development. This study also presents the results of clinical trials regarding the comparison of the prevalence of PTC in patients with HT, and in patients without autoimmune thyroid disease.

There is a need for further scientific research through which more will be leant about the mechanisms linking HT and PTC. Vigilance should be maintained while caring for a patient with HT, as many scientific studies confirm the more frequent occurrence of PTC in patients afflicted with autoimmune thyroiditis. HT can also have a significant impact on the course of cancer and its prognosis.

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