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Original article / research
Year: 2019 Month: July Volume: 8 Issue: 3 Page: PO01 - PO04

Intensity and Grading of Galectin-3 Expression as a Sole Marker to Differentiate Benign and Malignant Thyroid Neoplasms

 
Correspondence Pallavi Vijay Borkar, Kondisetty Gowrinath, Kondisetty Sandeep,
Dr. Kondisetty Gowrinath,
Assistant Professor, Department of General Surgery, Medicity Institute of Medical Sciences,
Ghanpur, Medchal, Telangana, India.
E-mail: docsunnyhyd@gmail.com
:
Introduction: Errors in categorization of thyroid neoplasms as benign or malignant has management implications. In several studies Galectin-3 was one of the most reliable markers for malignancy in thyroid.

Aim: To evaluate utility of Galectin-3 as a sole marker in differentiating benign and malignant thyroid neoplasm.

Materials and Methods: Forty one thyroidectomy cases were studied, which included 12 benign and 29 malignant thyroid neoplasms. Galectin-3 (CELL MARQUE Galectin-3 mouse monoclonal antibody, CMC25521020) expression was assessed. Grading based on intensity and extent (diffuse/focal) of Galectin-3 expression was also noted.

Results: The expression of Galectin-3 was significantly higher (p<0.001) in malignant thyroid neoplasms. Difference in Galectin-3 expression in benign thyroid neoplasms and PTC was significant (p<0.001). Galectin-3 expression within various follicular neoplasms was not useful when only positivity (>10% of cells positive) (p>0.08) and diffuse positivity (>50% of cells positive) (p>0. 0.167) were taken into consideration. However, with grade 3 intensity of Galectin- 3 staining in various follicular neoplasms there was a significant difference in Galectin-3 expression (p<0.002).

Conclusion: Galectin-3 is useful in differentiating benign and malignant thyroid neoplasm (p<0.05). It can be used as sole marker for differentiating Papillary thyroid carcinoma and benign thyroid neoplasms. Grade 3 intensity of Galectin-3 positivity could prove to be a useful marker in differentiating follicular patterned lesions.
 
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