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Refractory Thyroid Gland Carcinoma

MedGen UID:
1643731
•Concept ID:
C4684942
•
Neoplastic Process
Synonym: Refractory Thyroid Cancer

Definition

Thyroid gland carcinoma that does not respond to treatment. [from NCI]

Professional guidelines

PubMed

Molecular diagnosis and targeted treatment of advanced follicular cell-derived thyroid cancer in the precision medicine era.
Capdevila J, Awada A, Führer-Sakel D, Leboulleux S, Pauwels P
Cancer Treat Rev 2022 May;106:102380. Epub 2022 Mar 15 doi: 10.1016/j.ctrv.2022.102380. PMID: 35305441
Lenvatinib dose, efficacy, and safety in the treatment of multiple malignancies.
Motzer RJ, Taylor MH, Evans TRJ, Okusaka T, Glen H, Lubiniecki GM, Dutcus C, Smith AD, Okpara CE, Hussein Z, Hayato S, Tamai T, Makker V
Expert Rev Anticancer Ther 2022 Apr;22(4):383-400. Epub 2022 Apr 7 doi: 10.1080/14737140.2022.2039123. PMID: 35260027Free PMC Article
Differentiated Thyroid Cancer-Treatment: State of the Art.
Schmidbauer B, Menhart K, Hellwig D, Grosse J
Int J Mol Sci 2017 Jun 17;18(6) doi: 10.3390/ijms18061292. PMID: 28629126Free PMC Article

Recent clinical studies

Etiology

Summary and update on the management of differentiated thyroid cancer in 2023.
Raymond P, Klein M, Borson-Chazot F
Ann Endocrinol (Paris) 2024 Apr;85(2):110-117. Epub 2024 Feb 3 doi: 10.1016/j.ando.2023.11.007. PMID: 38316254
Lenvatinib for the Treatment of Radioiodine-Refractory Differentiated Thyroid Cancer: Treatment Optimization for Maximum Clinical Benefit.
Wirth LJ, Durante C, Topliss DJ, Winquist E, Robenshtok E, Iwasaki H, Luster M, Elisei R, Leboulleux S, Tahara M
Oncologist 2022 Jul 5;27(7):565-572. doi: 10.1093/oncolo/oyac065. PMID: 35482606Free PMC Article
Redifferentiation of radioiodine-refractory thyroid cancers.
Buffet C, Wassermann J, Hecht F, Leenhardt L, Dupuy C, Groussin L, Lussey-Lepoutre C
Endocr Relat Cancer 2020 May;27(5):R113-R132. doi: 10.1530/ERC-19-0491. PMID: 32191916
Treatment of refractory thyroid cancer.
Berdelou A, Lamartina L, Klain M, Leboulleux S, Schlumberger M
Endocr Relat Cancer 2018 Apr;25(4):R209-R223. Epub 2018 Jan 25 doi: 10.1530/ERC-17-0542. PMID: 29371330
Lenvatinib versus placebo in radioiodine-refractory thyroid cancer.
Schlumberger M, Tahara M, Wirth LJ, Robinson B, Brose MS, Elisei R, Habra MA, Newbold K, Shah MH, Hoff AO, Gianoukakis AG, Kiyota N, Taylor MH, Kim SB, Krzyzanowska MK, Dutcus CE, de las Heras B, Zhu J, Sherman SI
N Engl J Med 2015 Feb 12;372(7):621-30. doi: 10.1056/NEJMoa1406470. PMID: 25671254

Diagnosis

The Role of Molecular Markers in Thyroid Cancer Diagnostics and Treatment.
Sada A, Yip L
Surg Clin North Am 2024 Aug;104(4):741-749. Epub 2024 Mar 23 doi: 10.1016/j.suc.2024.02.004. PMID: 38944495
Use of multikinase inhibitors/lenvatinib in singular thyroid cancer scenarios.
Zafón C, Castelo B
Cancer Med 2022 Oct;11 Suppl 1(Suppl 1):3-4. doi: 10.1002/cam4.5154. PMID: 36202604Free PMC Article
Kinase-inhibitors for iodine-refractory differentiated thyroid cancer: still far from a structured therapeutic algorithm.
Marotta V, Chiofalo MG, Di Gennaro F, Daponte A, Sandomenico F, Vallone P, Costigliola L, Botti G, Ionna F, Pezzullo L
Crit Rev Oncol Hematol 2021 Jun;162:103353. Epub 2021 May 14 doi: 10.1016/j.critrevonc.2021.103353. PMID: 34000414
Personalized treatment for differentiated thyroid cancer: current data and new perspectives.
Colombo C, Giancola N, Fugazzola L
Minerva Endocrinol (Torino) 2021 Mar;46(1):62-89. Epub 2020 Nov 19 doi: 10.23736/S2724-6507.20.03342-8. PMID: 33213119
Redifferentiation of radioiodine-refractory thyroid cancers.
Buffet C, Wassermann J, Hecht F, Leenhardt L, Dupuy C, Groussin L, Lussey-Lepoutre C
Endocr Relat Cancer 2020 May;27(5):R113-R132. doi: 10.1530/ERC-19-0491. PMID: 32191916

Therapy

Use of multikinase inhibitors/lenvatinib in singular thyroid cancer scenarios.
Zafón C, Castelo B
Cancer Med 2022 Oct;11 Suppl 1(Suppl 1):3-4. doi: 10.1002/cam4.5154. PMID: 36202604Free PMC Article
A Randomized Study of Lenvatinib 18 mg vs 24 mg in Patients With Radioiodine-Refractory Differentiated Thyroid Cancer.
Brose MS, Panaseykin Y, Konda B, de la Fouchardiere C, Hughes BGM, Gianoukakis AG, Joo Park Y, Romanov I, Krzyzanowska MK, Leboulleux S, Binder TA, Dutcus C, Xie R, Taylor MH
J Clin Endocrinol Metab 2022 Feb 17;107(3):776-787. doi: 10.1210/clinem/dgab731. PMID: 34664662Free PMC Article
Radioiodine-refractory thyroid cancer: a complex challenge.
Vitale G, Pellegrino G, Desiderio E, Barrea L
Minerva Med 2021 Dec;112(6):686-688. Epub 2021 Oct 21 doi: 10.23736/S0026-4806.21.07845-9. PMID: 34672171
Theranostics in Thyroid Cancer.
Eilsberger F, Pfestroff A
PET Clin 2021 Jul;16(3):375-382. doi: 10.1016/j.cpet.2021.03.007. PMID: 34053581
Treatment of refractory thyroid cancer.
Berdelou A, Lamartina L, Klain M, Leboulleux S, Schlumberger M
Endocr Relat Cancer 2018 Apr;25(4):R209-R223. Epub 2018 Jan 25 doi: 10.1530/ERC-17-0542. PMID: 29371330

Prognosis

The Role of Molecular Markers in Thyroid Cancer Diagnostics and Treatment.
Sada A, Yip L
Surg Clin North Am 2024 Aug;104(4):741-749. Epub 2024 Mar 23 doi: 10.1016/j.suc.2024.02.004. PMID: 38944495
Summary and update on the management of differentiated thyroid cancer in 2023.
Raymond P, Klein M, Borson-Chazot F
Ann Endocrinol (Paris) 2024 Apr;85(2):110-117. Epub 2024 Feb 3 doi: 10.1016/j.ando.2023.11.007. PMID: 38316254
Single-cell transcriptomic analysis of the tumor ecosystems underlying initiation and progression of papillary thyroid carcinoma.
Pu W, Shi X, Yu P, Zhang M, Liu Z, Tan L, Han P, Wang Y, Ji D, Gan H, Wei W, Lu Z, Qu N, Hu J, Hu X, Luo Z, Li H, Ji Q, Wang J, Zhang X, Wang YL
Nat Commun 2021 Oct 18;12(1):6058. doi: 10.1038/s41467-021-26343-3. PMID: 34663816Free PMC Article
Current Treatment Strategies in Metastasized Differentiated Thyroid Cancer.
Kreissl MC, Janssen MJR, Nagarajah J
J Nucl Med 2019 Jan;60(1):9-15. Epub 2018 Sep 6 doi: 10.2967/jnumed.117.190819. PMID: 30190306
Pembrolizumab (Keytruda).
Kwok G, Yau TC, Chiu JW, Tse E, Kwong YL
Hum Vaccin Immunother 2016 Nov;12(11):2777-2789. Epub 2016 Jul 11 doi: 10.1080/21645515.2016.1199310. PMID: 27398650Free PMC Article

Clinical prediction guides

Markedly elevated serum preoperative thyroglobulin predicts radioiodine-refractory thyroid cancer.
Cheng X, Xu S, Zhu Y, Wu J, Bao J, Yu H, Zhang L
Eur J Clin Invest 2022 Apr;52(4):e13721. Epub 2021 Dec 7 doi: 10.1111/eci.13721. PMID: 34855206
Novel Inhibitor-Based Therapies for Thyroid Cancer-An Update.
Ratajczak M, Gaweł D, Godlewska M
Int J Mol Sci 2021 Oct 31;22(21) doi: 10.3390/ijms222111829. PMID: 34769260Free PMC Article
Pembrolizumab (Keytruda).
Kwok G, Yau TC, Chiu JW, Tse E, Kwong YL
Hum Vaccin Immunother 2016 Nov;12(11):2777-2789. Epub 2016 Jul 11 doi: 10.1080/21645515.2016.1199310. PMID: 27398650Free PMC Article
Lenvatinib versus placebo in radioiodine-refractory thyroid cancer.
Schlumberger M, Tahara M, Wirth LJ, Robinson B, Brose MS, Elisei R, Habra MA, Newbold K, Shah MH, Hoff AO, Gianoukakis AG, Kiyota N, Taylor MH, Kim SB, Krzyzanowska MK, Dutcus CE, de las Heras B, Zhu J, Sherman SI
N Engl J Med 2015 Feb 12;372(7):621-30. doi: 10.1056/NEJMoa1406470. PMID: 25671254
The prognostic implications from molecular testing of thyroid cancer.
Ozgursoy OB, Eisele DW, Tufano RP
Otolaryngol Clin North Am 2014 Aug;47(4):595-607. doi: 10.1016/j.otc.2014.04.010. PMID: 25041960

Recent systematic reviews

Tyrosine kinase inhibitors for radioiodine refractory differentiated thyroid cancer: A systematic review and meta-analysis.
Yu J, Liu Z, Su Y, Peng X, Xie Y
Clin Endocrinol (Oxf) 2024 Apr;100(4):379-388. Epub 2024 Feb 13 doi: 10.1111/cen.15027. PMID: 38351437
Radioactive Iodine in Differentiated Thyroid Carcinoma: A Systematic AGREE II Clinical Practice Guideline Appraisal.
Monos S, Fritz C, Harris J, Romeo D, Ng JJ, Xu K, Cooperberg B, Moreira A, Rajasekaran K
Otolaryngol Head Neck Surg 2024 Jan;170(1):20-33. Epub 2023 Sep 11 doi: 10.1002/ohn.508. PMID: 37694597
Vitamin D-Related Genes and Thyroid Cancer-A Systematic Review.
Maciejewski A, Lacka K
Int J Mol Sci 2022 Nov 7;23(21) doi: 10.3390/ijms232113661. PMID: 36362448Free PMC Article
Sorafenib and radioiodine-refractory differentiated thyroid cancer (RR-DTC): a systematic review and meta-analysis.
Feng G, Luo Y, Zhang Q, Zeng F, Xu J, Zhu J
Endocrine 2020 Apr;68(1):56-63. Epub 2020 Jan 18 doi: 10.1007/s12020-019-02167-6. PMID: 31955344
Differentiated Thyroid Cancer-Treatment: State of the Art.
Schmidbauer B, Menhart K, Hellwig D, Grosse J
Int J Mol Sci 2017 Jun 17;18(6) doi: 10.3390/ijms18061292. PMID: 28629126Free PMC Article

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