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Table 8 Hereditary syndromes associated with thyroid cancers of follicular cell origin

From: Genetic susceptibility to hereditary non-medullary thyroid cancer

Name

Mode of Inheritance

Responsible gene

Chromosome

Thyroid cancer histological subtype

Phenotypes other than thyroid cancer

FAP and Gardner’s syndrome

Autosomal dominant

APC

5q21

PTC with cribriform pattern

Colorectal carcinoma, ampullary carcinoma, hepatoblastoma, medulloblastoma

Cowden Syndrome

Autosomal dominant

PTEN, SDHB-D, PIK3CA, AKT1,KLLN,SEC23B

10q22–23

1p36.13

3q26.32

14q32.33

10q23.31

20p11.23

PTC (classical and follicular variants)

FTC

Multiple hamartomas, follicular thyroid carcinoma, benign thyroid nodules, breast cancer, endometrial cancer

Werner syndrome

Autosomal recessive

WRN

8p11–21

PTC, FTC, ATC (anaplastic thyroid carcinoma)

Premature aging, scleroderma-like skin changes, cataracts, subcutaneous calcifications, muscular atrophy, diabetes

Carney complex

Autosomal dominant

PRKAR1

17q22–24

PTC, FTC

Spotty skin pigmentation, cardiac myxomas, endocrine tumours

DICER1 syndrome

Autosomal dominant

DICER1

14q32.13

PTC, DTC

Endocrine tumours (thyroid, parathyroid, pituitary, pineal gland, endocrine pancreas, paragangliomas, medullary, adrenocortical, ovarian, and testicular tumours

Pendred syndrome

Autosomal recessive

SLC26A4, FOXI1, KCNJ10

7q21–34

PTC, FTC, ATC

Sensorineural deafness/hearing impairment, goiter, and an abnormal organification of iodide with or without hypothyroidism

Ataxia-telangiectasia

autosomal recessive

ATM

11q22–23

PTC

Cerebellar degeneration, telangiectasia, immunodeficiency, recurrent sinopulmonary infections, radiation sensitivity, premature aging, lymphoid cancer, poor growth, gonadal atrophy, insulin resistant diabetes

Bannayan-Riley- Ruvalcaba syndrome

autosomal dominant

PTEN

10q23.3

PTC, FTC

Macrocephaly, hamartomatous tissue overgrowth, lipomas, pigmented macules on the penis, developmental delay, large birth weight, joint hyperextensibility, endometrial cancer, renal cell carcinoma, Lhermitte–Duclos disease

Peutz-Jeghers syndrome

Autosomal dominant

STK11

 

PTC, DTC

Gastrointestinal (GI) polyposis, mucocutaneous pigmented macules, breast cancer, uterine cancer, cervical cancer, lung cancer, ovarian cancer, testicular cancers

PTEN hamartoma tumour syndrome

autosomal dominant

PTEN

10q23.31

FTC, PTC, fvPTC, MNG

Breast cancer, Endometrial cancer, FTC, Gastrointestinal hamartomas, Lhermitte-Duclos disease, Macrocephaly, Macular pigmentation of the glans penis, Multiple mucocutaneous lesions, Autism spectrum disorder, Colon cancer, Esophageal glycogenic acanthosis, Lipomas, Mental retardation, Renal cell carcinoma, Testicular lipomatosis, PTC, fvPTC, thyroid adenoma, MNG

Li-Fraumeni syndrome

Autosomal dominant

TP53

17p13.1

cPTC, FVPTC

Adrenocortical carcinomas, breast cancer, central nervous system tumours, osteosarcomas, soft-tissue sarcomas, leukemia, lymphoma, gastrointestinal cancers, cancers of head and neck, kidney, larynx, lung, skin, ovary, pancreas, prostate, and testis