Malouf G, Baudin E, Soria J-C, Schlumberger M
Département de médecine, faculté de médecine Paris-Sud, Institut Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif cedex, France.
Bull Cancer. 2009 Jan;96(1):95-101. doi: 10.1684/bdc.2008.0798.
During last decade, many progresses have been made in the understanding of thyroid cancer molecular biology. This knowledge led to the development of novel targeted therapy in iodine-resistant patients. However, the management of patients remains complex because of the broad spectrum of clinical presentation of thyroid cancers, differences in their natural histories and the lack of data about randomized trials. Angiogenesis inhibitors (sorafenib, motesanib, axitinib and vandetanib) have shown promising activity in differentiated thyroid cancer. Vandetanib, an inhibitor of RET and VEGFR tyrosine-kinases, is promising in medullary thyroid cancers. Preliminary results of these trials are discussed in this review.
在过去十年中,我们对甲状腺癌分子生物学的认识取得了许多进展。这些知识推动了针对碘抵抗患者的新型靶向治疗的发展。然而,由于甲状腺癌临床表现广泛、自然病史各异且缺乏随机试验数据,患者的管理仍然复杂。血管生成抑制剂(索拉非尼、莫特塞尼、阿昔替尼和凡德他尼)在分化型甲状腺癌中显示出有前景的活性。凡德他尼是一种RET和VEGFR酪氨酸激酶抑制剂,在甲状腺髓样癌中前景良好。本文综述将讨论这些试验的初步结果。