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放射性碘难治性甲状腺癌治疗的新方法:分子靶向治疗时代

New approaches in the management of radioiodine-refractory thyroid cancer: the molecular targeted therapy era.

作者信息

Capdevila Jaume, Argiles Guillem, Rodriguez-Frexinos Victor, Nuñez Isaac, Tabernero Josep

机构信息

Department of Medical Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.

出版信息

Discov Med. 2010 Feb;9(45):153-62.

PMID:20193642
Abstract

Although thyroid carcinoma usually has an excellent prognosis, the lack of therapeutic options is an issue for patients that develop metastases and are resistant to radioiodine therapy. The development of novel molecular targeted therapies and the characterization of several proteins that have a crucial role in the carcinogenesis process of differentiated thyroid cancer have created an opportunity to design new clinical trials for this setting. Moreover, the encouraging initial results of first clinical trials have accelerated the development of placebo-controlled phase III studies that will assess the role of these new agents in the management of differentiated thyroid cancer.

摘要

尽管甲状腺癌通常预后良好,但对于发生转移且对放射性碘治疗耐药的患者而言,缺乏治疗选择仍是一个问题。新型分子靶向疗法的发展以及在分化型甲状腺癌致癌过程中起关键作用的几种蛋白质的特性研究,为针对这种情况设计新的临床试验创造了机会。此外,首批临床试验令人鼓舞的初步结果加速了安慰剂对照的III期研究的开展,这些研究将评估这些新药物在分化型甲状腺癌治疗中的作用。

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New approaches in the management of radioiodine-refractory thyroid cancer: the molecular targeted therapy era.放射性碘难治性甲状腺癌治疗的新方法:分子靶向治疗时代
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Targeted therapy in radioiodine refractory thyroid cancer.放射性碘难治性甲状腺癌的靶向治疗
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Radioiodine refractoriness score: A multivariable prediction model for postoperative radioiodine-refractory differentiated thyroid carcinomas.放射性碘难治评分:用于预测术后放射性碘难治性分化型甲状腺癌的多变量预测模型。
Cancer Med. 2018 Nov;7(11):5448-5456. doi: 10.1002/cam4.1794. Epub 2018 Sep 27.
2
Neoadjuvant Therapy in Differentiated Thyroid Cancer.分化型甲状腺癌的新辅助治疗
Int J Surg Oncol. 2016;2016:3743420. doi: 10.1155/2016/3743420. Epub 2016 Sep 22.
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Sorafenib: a review of its use in patients with radioactive iodine-refractory, metastatic differentiated thyroid carcinoma.
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Target Oncol. 2015 Mar;10(1):171-8. doi: 10.1007/s11523-015-0363-z. Epub 2015 Mar 7.
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A qualitative evaluation of the validity of published health utilities and generic health utility measures for capturing health-related quality of life (HRQL) impact of differentiated thyroid cancer (DTC) at different treatment phases.对已发表的健康效用值及通用健康效用测量工具在反映分化型甲状腺癌(DTC)不同治疗阶段健康相关生活质量(HRQL)影响方面有效性的定性评估。
Qual Life Res. 2015 Feb;24(2):325-38. doi: 10.1007/s11136-014-0776-7. Epub 2014 Aug 9.
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Sorafenib in radioactive iodine-refractory well-differentiated metastatic thyroid cancer.索拉非尼治疗放射性碘难治性分化型甲状腺癌转移。
Onco Targets Ther. 2014 Jul 15;7:1291-9. doi: 10.2147/OTT.S49430. eCollection 2014.