Centre of Postgraduate Medical Education, Department of Endocrinology, Marymoncka 99/103, 01-813 Warsaw, Poland.
Centre of Postgraduate Medical Education, Department of Immunohematology, Marymoncka 99/103, 01-813 Warsaw, Poland.
Int J Mol Sci. 2021 Oct 31;22(21):11829. doi: 10.3390/ijms222111829.
Thyroid cancers (TCs) are the most common tumors of the endocrine system and a constant rise in the number of TC cases has been observed for the past few decades. TCs are one of the most frequent tumors in younger adults, especially in women, therefore early diagnosis and effective therapy are especially important. Ultrasonography examination followed by fine needle biopsy have become the gold standard for diagnosis of TCs, as these strategies allow for early-stage detection and aid accurate qualification for further procedures, including surgical treatment. Despite all the advancements in detection and treatment of TCs, constant mortality levels are still observed. Therefore, a novel generation line of targeted treatment strategies is being developed, including personalized therapies with kinase inhibitors. Recent molecular studies on TCs demonstrate that kinase inhibitor-based therapies might be considered as the most promising. In the past decade, new kinase inhibitors with different mechanisms of action have been reported and approved for clinical trials. This review presents an up-to-date picture of new approaches and challenges of inhibitor-based therapies in treatment of TCs, focusing on the latest findings reported over the past two years.
甲状腺癌 (TCs) 是内分泌系统最常见的肿瘤,在过去几十年中,TCs 的病例数量一直在持续增加。TCs 是年轻人中最常见的肿瘤之一,尤其是在女性中,因此早期诊断和有效治疗尤为重要。超声检查加细针穿刺活检已成为 TCs 的诊断金标准,因为这些策略可以实现早期发现,并有助于准确确定进一步的治疗程序,包括手术治疗。尽管在 TCs 的检测和治疗方面取得了所有进展,但仍观察到持续的死亡率水平。因此,正在开发新一代的靶向治疗策略,包括针对激酶抑制剂的个性化治疗。最近对 TCs 的分子研究表明,基于激酶抑制剂的治疗可能被认为是最有前途的治疗方法。在过去的十年中,已经报道并批准了具有不同作用机制的新型激酶抑制剂用于临床试验。本综述介绍了基于抑制剂的治疗方法在治疗 TCs 方面的最新进展和挑战,重点介绍了过去两年中报告的最新发现。