Approach to the patient with advanced differentiated thyroid cancer.

Eur J Endocrinol

Department of Nuclear Medicine and Endocrine Oncology, Centre de Référence Tumeurs Réfractaires de la Thyroïde, Institut Gustave Roussy and University Paris-Sud XI, 94800 Villejuif, France.

Published: January 2012

AI Article Synopsis

  • Patients with advanced thyroid cancer may benefit from l-thyroxine treatment to lower TSH levels, alongside local interventions and radioiodine therapy.
  • Those who don't respond to radioiodine have limited success with chemotherapy, showing poor efficacy.
  • Kinase inhibitors have shown promising results and are recommended as a first-line treatment, ideally within clinical trials.

Article Abstract

Patients with advanced thyroid cancer may benefit from l-thyroxine treatment at doses that suppress serum TSH level, local treatment interventions, and radioiodine therapy. In those patients who are refractory to radioiodine therapy and in whom progressive disease has been documented, the efficacy of cytotoxic chemotherapy is poor. Encouraging results have been obtained with the use of kinase inhibitors that should be offered as first-line treatment, preferably in the context of a prospective trial.

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Source
http://dx.doi.org/10.1530/EJE-11-0631DOI Listing

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