Anaplastic thyroid carcinoma: review of treatment protocols

被引:93
作者
Tiedje, Vera [1 ]
Stuschke, Martin [2 ]
Weber, Frank [3 ]
Dralle, Henning [3 ]
Moss, Laura [4 ]
Fuehrer, Dagmar [1 ]
机构
[1] Univ Duisburg Essen, Univ Hosp Essen, West German Canc Ctr, Endocrine Tumour Ctr,Dept Endocrinol Diabetol & M, Essen, Germany
[2] Univ Duisburg Essen, Univ Hosp Essen, West German Canc Ctr, Dept Radiotherapy, Essen, Germany
[3] Univ Duisburg Essen, Univ Hosp Essen, Sect Endocrine Surg, Dept Gen Visceral & Transplantat Surg, Essen, Germany
[4] Velindre Canc Ctr, Cardiff, S Glam, Wales
关键词
anaplastic thyroid carcinoma; treatment protocol; radiotherapy; targeted therapy; ASSOCIATION GUIDELINES; SINGLE-INSTITUTION; CANCER; SURVIVAL; CHEMOTHERAPY; MANAGEMENT; BRAF; FOSBRETABULIN; VEMURAFENIB; THERAPY;
D O I
10.1530/ERC-17-0435
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Anaplastic thyroid carcinoma (ATC) is an orphan disease and in most patients fatal. So far no established treatment is available that prolongs survival. Several large retrospective studies have identified negative prognostic markers, analyzed efficacy of multimodal approaches such as radiotherapy with and without concurrent chemotherapy and chemotherapy protocols. Recently, single case reports have suggested some effectiveness of newer therapies targeting single somatic alterations in ATC. Overall, the conclusions that can be drawn from published retrospective studies and the scarce prospective approaches is that new treatment protocols should be developed including surgery, radiotherapy, chemotherapy and targeted therapy approaches and combinational therapy with immunotherapies. These protocols then need to be evaluated prospectively to improve ATC patients' outcome in routine care.
引用
收藏
页码:R153 / R161
页数:9
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