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病例报告:一名间变性甲状腺癌患者经多模态放疗、安罗替尼和托瑞帕利单抗联合治疗后实现显著且持续的缓解。

Case Report: Remarkable and sustained remission of an anaplastic thyroid carcinoma patient to the combined treatment of multimodal radiotherapy, anlotinib and toripalimab.

作者信息

Xing Yurou, Wu Xuehu, Li Zhihui, Wu Xin

机构信息

Thoracic Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Oncol. 2025 May 21;15:1491918. doi: 10.3389/fonc.2025.1491918. eCollection 2025.

Abstract

Anaplastic thyroid carcinoma (ATC) is an infrequent malignant tumor that has a high death rate and a poor prognosis. The therapeutic methods for ATC include traditional surgery, chemoradiotherapy and targeted therapy. However, the effect of ATC treatment is not ideal. We report a patient with ATC who developed rapid local recurrence and multiple systemic metastases after radical thyroidectomy. After multimodal radiotherapy, antiangiogenic therapy and immunotherapy, the patient's tumors shrunk significantly and achieved long-term control. The therapeutic effect was remarkable. These findings provide a viable new treatment choice for ATC patients in the future.

摘要

间变性甲状腺癌(ATC)是一种罕见的恶性肿瘤,死亡率高且预后较差。ATC的治疗方法包括传统手术、放化疗和靶向治疗。然而,ATC的治疗效果并不理想。我们报告1例ATC患者,其在甲状腺根治性切除术后出现快速局部复发和多发全身转移。经过多模式放疗、抗血管生成治疗和免疫治疗后,患者的肿瘤显著缩小并实现了长期控制。治疗效果显著。这些发现为未来的ATC患者提供了一种可行的新治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcf8/12133832/461aa4bf9dab/fonc-15-1491918-g001.jpg

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