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酪氨酸激酶抑制剂(TKIs)与免疫检查点抑制剂(ICIs)联合治疗间变性甲状腺癌。

Combination therapy of TKIs and ICIs for the treatment of anaplastic thyroid carcinoma.

作者信息

Zhang Xi, Lu Hongzhi, Lv Yuanshi, Gao Hong, Jin Hui

机构信息

Department of Thyroid-head & Neck Oncosurgery-1, Jilin Cancer Hospital, Changchun, China.

出版信息

Front Oncol. 2025 May 23;15:1564865. doi: 10.3389/fonc.2025.1564865. eCollection 2025.

Abstract

OBJECTIVE

To explore the efficacy of combination therapy of tyrosine kinase inhibitor (TKIs) and immune checkpoint inhibitor (ICIs) in patients with anaplastic thyroid carcinoma (ATC).

METHOD

This study enrolled 7 patients with ATC between June 2020 and June 2024, and conducted follow-up for a minimum of 6 months post-treatment, with the longest follow-up duration reaching 4 years. Patients received treatment with the TKI-Anlotinib and the ICI-Sintilimab, administered every 3 weeks in a treatment cycle.

RESULT

Following treatment, among the 7 patients, the primary lesion in 3 patients who had not undergone thyroidectomy exhibited significant shrinkage, the lung metastases in 5 patients with pulmonary involvement significantly regressed, and the lateral cervical lymph node metastases in all patients demonstrated notable reduction.

CONCLUSION

Combination therapy of TKIs and ICIs for the treatment of ATC patients can be highly effective and bringing better therapeutic outcomes and quality of life for patients.

摘要

目的

探讨酪氨酸激酶抑制剂(TKIs)与免疫检查点抑制剂(ICIs)联合治疗间变性甲状腺癌(ATC)患者的疗效。

方法

本研究纳入了2020年6月至2024年6月期间的7例ATC患者,并在治疗后进行了至少6个月的随访,最长随访时间达4年。患者接受TKI-安罗替尼和ICI-信迪利单抗治疗,每3周为一个治疗周期。

结果

治疗后,7例患者中,3例未行甲状腺切除术的患者原发灶明显缩小,5例有肺部受累的患者肺转移灶明显消退,所有患者的颈部侧方淋巴结转移均显著减少。

结论

TKIs与ICIs联合治疗ATC患者可取得高效,为患者带来更好的治疗效果和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df1/12141319/12e134b58e45/fonc-15-1564865-g001.jpg

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