title: Fra-1 expression in malignant and benign thyroid tumor.
abstract: BACKGROUND
  The differential diagnosis of thyroid nodules is very important in deciding the treatment modality and the fine needle aspiration is the best diagnostic method. But, there are some limitations in use because of inadequate test materials and difficulty in interpreting. According to the study of oncogene and tumor suppressor gene about the origin of thyroid tumor, expression of Fra-1, one of AP-1 complex, is increased in thyroid neoplasm, though not present in the normal tissue. So, there is a possibility that it will be used as a method for the differential diagnosis of thyroid nodules. We tried to know whether presence or absence of Fra-1 expression can be used as a diagnostic method in differential diagnosis of thyroid nodules using the immunohistochemical (IHC) staining method.
  
  
  METHODS
  In 4 types of thyroid tumor that were confirmed by histologic diagnosis after operation (18 cases of adenomatous goiter, 16 cases of follicular adenoma, 30 cases of papillary cancer, 10 cases of follicular cancer), IHC staining method was performed to evaluate the expression of Fra-1.
  
  
  RESULTS
  In papillary and follicular thyroid cancers, the expression of Fra-1 was stronger than in benign thyroid tumor, but there was no difference in Fra-1 expression between the two types of carcinoma. Weak expression of Fra-1 was observed in all cases of follicular adenoma, though it was weaker than in carcinoma, and it was also weakly expressed only in some cases (33%) of adenomatous goiter.
  
  
  CONCLUSIONS
  The expression of Fra-1 was stronger in thyroid cancer than in benign thyroid tumor, but it was impossible to differentiate thyroid cancer from benign thyroid tumor by presence or absence of Fra-1 expression using IHC staining method.
authors.affiliation: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Y H
authors.initials: YH
authors.lastname: Kim
authors.forename: J H
authors.initials: JH
authors.lastname: Oh
authors.forename: N H
authors.initials: NH
authors.lastname: Kim
authors.forename: K M
authors.initials: KM
authors.lastname: Choi
authors.forename: S J
authors.initials: SJ
authors.lastname: Kim
authors.forename: S H
authors.initials: SH
authors.lastname: Baik
authors.forename: D S
authors.initials: DS
authors.lastname: Choi
authors.forename: E S
authors.initials: ES
authors.lastname: Lee
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis*; D001707:Biopsy, Needle; D046508:Culture Techniques; D003937:Diagnosis, Differential; D006801:Humans; D007150:Immunohistochemistry; D016760:Proto-Oncogene Proteins c-fos / Q000032:analysis*; D012680:Sensitivity and Specificity; D013959:Thyroid Diseases / Q000378:metabolism / Q000473:pathology; D013964:Thyroid Neoplasms / Q000378:metabolism* / Q000473:pathology*; D000099169:Fos-Related Antigen 1
chemical_list: D014408:Biomarkers, Tumor; D016760:Proto-Oncogene Proteins c-fos; D000099169:Fos-Related Antigen 1