AI Article Synopsis

  • Most follicular-derived thyroid cancers are well differentiated and typically have a good prognosis, but advanced forms like iodine refractory and poorly differentiated types present management challenges.
  • Recent advances in understanding the genetics and immune environment of these cancers have led to improved treatment options, including new targeted kinase inhibitors now approved by the FDA.
  • This review covers the genetic landscape of advanced thyroid cancers, current treatment strategies, and potential future therapies, highlighting progress in managing these complex cases.

Article Abstract

Although most follicular-derived thyroid cancers are well differentiated and have an overall excellent prognosis following treatment with surgery and radioiodine, management of advanced thyroid cancers, including iodine refractory disease and poorly differentiated/undifferentiated subtypes, is more challenging. Over the past decade, better understanding of the genetic drivers and immune milieu of advanced thyroid cancers has led to significant progress in the management of these patients. Numerous targeted kinase inhibitors are now approved by the U.S Food and Drug administration (FDA) for the treatment of advanced, radioiodine refractory differentiated thyroid cancers (DTC) as well as anaplastic thyroid cancer (ATC). Immunotherapy has also been thoroughly studied and has shown promise in selected cases. In this review, we summarize the progress in the understanding of the genetic landscape and the cellular and molecular basis of radioiodine refractory-DTC and ATC, as well as discuss the current treatment options and future therapeutic avenues.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167082PMC
http://dx.doi.org/10.3389/fimmu.2024.1369780DOI Listing

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