Anticancer drug therapy for anaplastic thyroid cancer.

IF 4.3 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM European Thyroid Journal Pub Date : 2025-04-14 Print Date: 2025-04-01 DOI:10.1530/ETJ-24-0287
Naomi Kiyota, Taiji Koyama, Iwao Sugitani
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Abstract

Anaplastic thyroid cancer is one of the rarest subtypes of thyroid cancer, accounting for only 1-2% of all thyroid cancer cases. It is also one of the most aggressive: prognosis remains dismal and the disease-specific mortality rate is close to 100%. This rarity has markedly limited the availability of prospective trial results, and no standard chemotherapeutic option for unresectable or metastatic anaplastic thyroid cancer has yet been established. Nevertheless, combination therapy with a BRAF inhibitor and MEK inhibitor has shown encouraging efficacy in patients with BRAF V600E-mutated anaplastic thyroid cancer. Other novel treatments such as immune checkpoint inhibitors have also shown promising results. Owing to these therapeutic advances, the prognosis of anaplastic thyroid cancer appears to be gradually improving. However, further development of novel treatments for this rare malignancy requires the development of substantial infrastructure for international collaborative study.

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甲状腺间变性癌的抗癌药物治疗。
间变性甲状腺癌是甲状腺癌中最罕见的亚型之一,仅占所有甲状腺癌病例的1-2%。它也是最具侵袭性的疾病之一:预后仍然很差,疾病特异性死亡率接近100%。这种罕见性明显限制了前瞻性试验结果的可用性,对于不可切除或转移性间变性甲状腺癌,尚未建立标准的化疗选择。然而,BRAF抑制剂和MEK抑制剂联合治疗BRAF v600e突变的间变性甲状腺癌患者显示出令人鼓舞的疗效。其他新的治疗方法,如免疫检查点抑制剂也显示出希望。由于这些治疗进展,甲状腺间变性癌的预后似乎逐渐改善。然而,这种罕见恶性肿瘤的新治疗方法的进一步发展需要发展大量的国际合作研究基础设施。
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来源期刊
European Thyroid Journal
European Thyroid Journal Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.70
自引率
2.10%
发文量
156
期刊介绍: The ''European Thyroid Journal'' publishes papers reporting original research in basic, translational and clinical thyroidology. Original contributions cover all aspects of the field, from molecular and cellular biology to immunology and biochemistry, from physiology to pathology, and from pediatric to adult thyroid diseases with a special focus on thyroid cancer. Readers also benefit from reviews by noted experts, which highlight especially active areas of current research. The journal will further publish formal guidelines in the field, produced and endorsed by the European Thyroid Association.
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