Saint John's Cancer Institute & Pacific Neuroscience Institute, Providence Health System, 2125 Arizona Avenue, Santa Monica, CA 90404, USA.
Department of Endocrine Neoplasia, MD Anderson Cancer Center, 1515 Holcombe Boulevard #853, Houston, TX 77030, USA.
Endocrinol Metab Clin North Am. 2022 Jun;51(2):379-389. doi: 10.1016/j.ecl.2022.02.001. Epub 2022 May 4.
Medullary thyroid cancer is a rare thyroid malignancy with unique management considerations. In general, small intrathyroidal tumors are cured by total thyroidectomy with central compartment dissection, while large tumors and those with disease spread to regional lymph nodes and distant organs (most commonly lung, liver, and bone) are more difficult to cure. The last decade has seen significant progress in the treatment of advanced MTC, largely due to the discovery and availability of novel targeted therapies, including new drugs specifically targeting the RET protooncogone.
甲状腺髓样癌是一种罕见的甲状腺恶性肿瘤,具有独特的治疗注意事项。一般来说,小的甲状腺内肿瘤通过全甲状腺切除术和中央区淋巴结清扫术可以治愈,而大的肿瘤和有局部淋巴结及远处器官(最常见的是肺、肝和骨)转移的肿瘤则更难治愈。过去十年,晚期甲状腺髓样癌的治疗取得了显著进展,这主要归因于新型靶向治疗药物的发现和应用,包括专门针对 RET 原癌基因的新药。