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[治疗诊断学与分化型甲状腺癌]

[Theranostics and differentiated thyroid cancer].

作者信息

Mezősi Emese

机构信息

I. Sz. Belgyógyászati Klinika, Pécsi Tudományegyetem, Klinikai Központ, Általános Orvostudományi Kar, Pécs, Hungary.

出版信息

Magy Onkol. 2020 Jun 10;64(2):112-117. Epub 2020 Feb 2.

Abstract

The first classic theranostic agent, radioactive iodine was used in the treatment of differentitated thyroid cancer (DTC) and it has an important role in the good prognosis of DTC even nowadays. I-131 provides a specific, molecular targeted therapy through the active uptake of iodide by sodium iodide symporter. The development of other theranostics also aimed the personalized therapy with minimal side effects and optimal therapeutic efficacy. The incidence of DTC which basically has good prognosis is increasing rapidly worldwide. This required the modification of guidelines to avoid the overtreatment of the disease, in the direction of less radical therapy. Currently, new pathological classification and staging systems were reported. The present work summarizes the new recommendations in the management of DTC, focusing on the indications of radioiodine therapy and reviewing the proposal of the Hungarian consensus conference.

摘要

首个经典的诊疗试剂——放射性碘,被用于治疗分化型甲状腺癌(DTC),即便在当今,它在DTC的良好预后中仍发挥着重要作用。I-131通过碘化钠同向转运体对碘化物的主动摄取提供一种特异性的分子靶向治疗。其他诊疗试剂的研发也旨在实现副作用最小化和治疗效果最优化的个性化治疗。DTC的发病率在全球范围内迅速上升,而DTC的预后基本良好。这就需要修改指南,朝着治疗手段不那么激进的方向,避免对该疾病的过度治疗。目前,已有新的病理分类和分期系统被报道。本研究总结了DTC管理方面的新建议,重点关注放射性碘治疗的适应症,并回顾了匈牙利共识会议的提议。

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