, the familial paraganglioma syndromes,Li–Fraumeni Syndrome, McCune–Albright syndrome, and Peutz–Jeghers syndrome, it remains unclear if these tumors are a direct result ofthe underlying genetic defect.722FRANCIS ET AL.longevity of life in patients screened by a standardized protocolusing US and fine-needle aspiration (FNA). Furthermore,routine US screening may also identify incidental findings,such as ectopic thymus, that may confuse the clinical pictureand potentially lead to unnecessary testing (75).A variety of genetic disorders predispose to thyroid neo-plasia (85,86) (Table 4). Benign and malignant thyroidtumors can occur in patients withAPC-associated poly-posis (87), the Carney complex (88), theDICER1syndrome(89,90), thePTENhamartoma tumor syndrome (91–93), andWerner syndrome (94). Cases of DTC have