Optimizing therapy for radioactive iodine-refractory differentiated thyroid cancer: current state of the art and future directions.

Abstract:

:The majority of patients with differentiated thyroid cancer are cured with standard primary treatments including surgery, radioactive iodine and TSH suppression. A small proportion of patients who develop radioactive iodine-refractory metastatic disease have few treatment options. Recent discovery of the molecular mechanisms that contribute to thyroid cancer tumorigenesis and its progression have revealed key targets that are currently being evaluated in clinical trials. In the last decade several novel targeted therapies have shown encouraging results and have brought hope to patients with advanced disease. However, identifying the subpopulation of patients who may benefit from systemic therapies remains a challenge as the use of these therapeutic modalities is associated with high toxicity rates and most patients have a long indolent phase where the tumor is stable or slowly progressive and asymptomatic. The objective of this review is to summarize the management of patients with metastatic, radioactive iodine refractory differentiated thyroid cancer.

journal_name

Minerva Endocrinol

journal_title

Minerva endocrinologica

authors

Dadu R,Cabanillas ME

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

335-56

issue

4

eissn

0391-1977

issn

1827-1634

pii

R07121976

journal_volume

37

pub_type

杂志文章,评审
  • Effectiveness and safety of liraglutide after three years of treatment.

    abstract:BACKGROUND:The aim of this study was to evaluate long-term effectiveness and safety of liraglutide in real world. METHODS:A diabetes clinic in Italy systematically collected data of all patients treated with liraglutide. Generalized hierarchical linear regression models for repeated measures were applied to assess tre...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Ponzani P,Scardapane M,Nicolucci A,Rossi MC

    更新日期:2016-03-01 00:00:00

  • Androgens and the skeleton.

    abstract::Loss of estrogens or androgens causes bone loss by increasing the rate of bone remodeling, and also causes an imbalance between resorption and formation by prolonging the lifespan of osteoclasts and shortening the lifespan of osteoblasts. Conversely, treatment with androgens, as well as estrogens, maintains cancellous...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lindberg MK,Vandenput L,Movèrare Skrtic S,Vanderschueren D,Boonen S,Bouillon R,Ohlsson C

    更新日期:2005-03-01 00:00:00

  • Growth hormone-releasing hormone and pituitary somatotrope proliferation.

    abstract::Growth hormone-releasing hormone (GHRH) is a hypothalamic hormone that is essential for normal expansion of the somatotrope lineage during pituitary development. Decreased GHRH secretion and/or action leads to impairment of this process and somatotrope hypoplasia in both humans and experimental animals. Excessive GHRH...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Frohman LA,Kineman RD

    更新日期:2002-12-01 00:00:00

  • [Comparative study of the efficiency of ultralente insulin and NPH insulin combined with sulfonylurea in type 2 diabetes patients with secondary tolerance to sulfonylurea. Possible selection criteria].

    abstract::The treatment of NIDDM patients with secondary failure to sulfonylureas is still a debated problem. In this study we compared in NIDDM patients with secondary failure to glyburide, the effect of adding a single, low-dose bed time either NPH or ultralent insulin injection (0.15-0.2 U/kg) to the previously ineffective s...

    journal_title:Minerva endocrinologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Sangiorgio L,Rabuazzo MA,Cordaro G,Grasso G,Condorelli L,Lunetta M

    更新日期:1996-06-01 00:00:00

  • Surgical therapeutic planning options in nodular goiter.

    abstract::Nodular goiter encompasses a spectrum of diseases from the incidental asyntomatic small solitary nodule to the large intrathoracic goiter causing pressure symptoms as well as functional complaints. The mainstay in the diagnostic evaluation is related to functional and morphological characterization with serum thyroid-...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Pelizzo MR,Merante Boschin I,Toniato A,Sorgato N,Marzola MC,Rubello D

    更新日期:2010-09-01 00:00:00

  • [New developments in the treatment of medullary thyroid carcinoma].

    abstract::Medullary thyroid carcinoma arises from the C cells, which produce a characteristic hormone, calcitonin. At present, surgery is the main treatment modality. Medullary thyroid carcinoma is usually treated with total thyroidectomy and with removal of nodes in the central portion of the neck and upper mediastinum. Cervic...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vitale G,Cascone E,Lupoli G Jr,Ciccarelli A,Barone C,Lupoli G

    更新日期:1998-12-01 00:00:00

  • [Diabetes monitoring for the pregnant diabetic].

    abstract::Diabetological care in pre-gestational (preGDM) and gestational (GDM) pregnant diabetic is an indispensable factor for the reduction of risk of mother, fetus and newborn complications. The adoption of an intensified therapy, aiming at maintaining almost normal glycemic values, and the improvement in fetal monitoring h...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Dradi Maraldi C,Santini C

    更新日期:1994-06-01 00:00:00

  • [Cardiovascular response to the cold test in obese subjects. Effect of a hypocaloric, normal sodium diet].

    abstract::Loss of weight in obese patients, both hypertensive and normotensive, causes a fall in blood pressure (BP) through a mechanism which is still not fully understood. The effects of a low-sodium low-energy diet on BP were assessed in 20 obese subjects (15 M and 5 F; age 26-65 years), 11 of whom were normotensive and 9 hy...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: De Simone G,Mancini M,Turco S,Marotta T,Gaeta I,Iannuzzi R,Ferrara LA,Mancini M

    更新日期:1990-10-01 00:00:00

  • The relationship between phthalates and obesity: serum and urine concentrations of phthalates.

    abstract:BACKGROUND:A limited number of human and animal studies suggest that a relationship exists between phthalates and obesity, although this is not supported by all research. The purpose of this study was to investigate the relationship between Body Mass Index (BMI) and the levels of phthalates in human blood and urine sam...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.16.02295-1

    authors: Oktar S,Sungur S,Okur R,Yilmaz N,Ustun I,Gokce C

    更新日期:2017-03-01 00:00:00

  • Untargeted metabolomics analysis of serum and follicular fluid samples from women with polycystic ovary syndrome.

    abstract:BACKGROUND:Polycystic ovary syndrome (PCOS) is a complex endocrine disorder with well-established metabolic abnormalities. In the present study, untargeted metabolomics technology was applied to analyze the serum and follicular fluid samples from women with polycystic ovary syndrome and healthy controls using 1H nuclea...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03199-5

    authors: Xu WL,Liu GY,Zhang N,Ren J,Li XY,Li YQ,Chen Y,Liu JY

    更新日期:2020-10-26 00:00:00

  • [Immunologic and genetic aspects of latent autoimmune diabetes in the adult].

    abstract::The presence of islet cell autoantibodies (ICA), and especially of glutamic acid decarboxylase autoantibodies (GAD65Ab), in patients with non-insulin-dependent diabetes mellitus identifies the so-called latent autoimmune diabetes in the adult (LADA). LADA patients have an increased risk for developing insulin deficien...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Falorni A

    更新日期:2003-12-01 00:00:00

  • The cell cycle in steroid hormone regulated proliferation and differentiation.

    abstract::Steroid hormones mediate pleiotropic cellular processes involved in metabolism, cellular proliferation, and differentiation. The ability of the cell to respond to its hormonal environment is transduced by nuclear receptors (NRs) that bind both hormone and DNA. Hence, NRs represent a link between the external hormonal ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Amanatullah DF,Zafonte BT,Pestell RG

    更新日期:2002-03-01 00:00:00

  • [Nuclear medicine methods for the diagnosis of adrenal tumors].

    abstract::Adrenal scintigraphy using 131I-6-beta-iodomethyl-19-norcholesterol or 6-methyl-75Se-methyl-19-norcholesterol is a function-dependent imaging method which, in association with high-resolution spatial imaging techniques, plays an essential role in the study of adrenocortical hyperfunction. It can distinguish between bi...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Gregianin M,Bui F,Varotto L,Zucchetta P,Macri C

    更新日期:1995-03-01 00:00:00

  • [Treatment of male idiopathic sterility with gonadotropin].

    abstract::The present paper reports our personal data on gonadotropin therapy in patients with idiopathic secretory oligozoospermia due to a low biological activity of LH. In recent years the use of more specific diagnostic procedures, particularly the biological assay of gonadotropins, and a better knowledge of the biological ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Conte D,Romanelli F,Isidori A

    更新日期:1990-01-01 00:00:00

  • Cardiovascular risk factors, carotid artery intima media thickness, and HSCRP levels in patients with impaired glucose metabolism.

    abstract:AIM:The aim of this paper was to compare serum high sensitivity C-reactive protein (HsCRP) levels and carotid artery intima-media thickness (CIMT) of patients with impaired glucose tolerance (IGT) or impaired fasting glucose (IFG) with that in control subjects. METHODS:Ninety-six subjects with prediabetes, 48 with IFG...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Karbek B,Cakal E,Cakir E,Bozkurt N,Unsal I,Sahin M,Delibaşi T

    更新日期:2013-09-01 00:00:00

  • Very-low-calorie ketogenic diet for the management of obesity, overweight and related disorders.

    abstract::Very-low-calorie ketogenic diet (VLCKD) is a promising lifestyle intervention for the management of overweight and obesity. It is characterized by a restriction of both calories and carbohydrates, while assuring the adequate proteins, fats and micronutrients intake. Significant results in terms of excess body weight l...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03356-8

    authors: Castellana M,Biacchi E,Procino F,Casanueva FF,Trimboli P

    更新日期:2020-11-19 00:00:00

  • Predicting, managing and preventing new-onset diabetes after transplantation.

    abstract::New-onset diabetes after transplantation (NODAT) or posttransplant diabetes mellitus is a frequent metabolic complication of organ transplantation. Diabetes incidence rates among transplant recipients are higher than in the general population. The estimated rates are 9-18% after kidney, 20-33% after liver, 26-40% afte...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Gosmanov AR,Dagogo-Jack S

    更新日期:2012-09-01 00:00:00

  • Pituitary expansive adenoma. A report of a case and differential diagnosis.

    abstract::Notwithstanding recent neuroendocrinological and neuroradiological findings, about 40% of carriers of pituitary adenoma still reach clinical observation and, consequently, the surgeon, in the stage of suffering from extrasellar extension to a varying degree, especially when the volumetric growth of the lesion is not a...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Russo A

    更新日期:2006-09-01 00:00:00

  • Role of the IGF axis in prostate cancer.

    abstract::The major issue currently being faced in the management of prostate cancer is the inability to distinguish between indolent prostate tumors that will not present clinically from more aggressive and metastatic prostate cancers that will impact on men's lives. Only a small proportion of prostate cancers can be accounted...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Biernacka KM,Perks CM,Holly JM

    更新日期:2012-06-01 00:00:00

  • Thyroid gland diseases in adult patients with diabetes mellitus.

    abstract::This review concerns the relation between most frequent thyroid gland diseases and diabetes mellitus in adult patients. Special attention is paid to autoimmune thyroiditis, Graves' disease, thyroid autoimmunity in pregnant diabetic women, and iodine metabolism. We focused on mechanisms leading to coexistence of both e...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vondra K,Vrbikova J,Dvorakova K

    更新日期:2005-12-01 00:00:00

  • Diabetes and the hypothalamo-pituitary-adrenal (HPA) axis.

    abstract::Patients and animals with poorly controlled or uncontrolled diabetes present with diurnal hypersecretion of glucocorticoids and altered regulation of the hypothalamo-pituitary-adrenocortical (HPA) axis. Although some of these changes are reversed with insulin replacement therapy, neuroendocrine function is not always ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Chan O,Inouye K,Riddell MC,Vranic M,Matthews SG

    更新日期:2003-06-01 00:00:00

  • Effects of thyroxine withdrawal in biochemical parameters and cardiac function and structure in patients with differentiated thyroid cancer.

    abstract:AIM:Patients with differentiated thyroid carcinoma (DTC) are closely monitored during the first decade after diagnosis. At intervals of 1-2 years withdrawal of suppressive doses of T(4) is recommended in order to check thyroglobulin (Tg) levels under increased TSH. T(4) therapy is usually withdrawn for 5 weeks (during ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Chrisoulidou A,Pazaitou-Panayiotou K,Kaprara A,Platoyiannis D,Lafaras C,Boudina M,Georgiou E,Drimonitis A,Bischiniotis T,Vainas I

    更新日期:2006-06-01 00:00:00

  • [Unusual endocrine behavior in adrenal carcinoma. A case study].

    abstract::The Authors report a case of left adrenal mass incidentally discovered by upper abdominal echogram in a 40 year old man. Physical examination showed no signs of hypercortisolism and plasma cortisol and ACTH levels were in the normal range as well as urinary free cortisol. After adrenalectomy, 4 and 8 month follow-up w...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Zingrillo M,Errico M,D'Aloiso L,Torlontano M,Parracino T,Gomes V

    更新日期:1991-10-01 00:00:00

  • Neuroendocrine tumors of the gastroenteric canal. Anatomopathological and diagnostic-therapeutic definition. Description of a case with a rare cecal localisation.

    abstract::The authors take the case of a neuroendocrine tumour of the cecum as the starting point for an analysis of the anatomopathological and diagnostic-therapeutic aspects of these neoplasms. Furthermore, the authors underline that neuroendocrine tumours (NET) of the colon represent an extremely rare nosological entity and ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Bonomi M,De Cesare A,Atella F,Angelini M,Graziano P,Piat G

    更新日期:1999-09-01 00:00:00

  • [The role of the endogenous opioid system in the pathogenesis of polycystic ovary syndrome: the altered neuroendocrine regulation of GnRH-LH is corrected after clomiphene therapy].

    abstract::To investigate whether inappropriate LH secretion in Polycystic Ovary Syndrome (PCO) was related to a reduction of inhibitory opioid control on the GnRH-LH system, 23 women affected by PCO (12 obese, BMI: 37.1 +/- 3.9 and 11 non obese, BMI: 21.5 + 2.4) and 19 fertile women (10 obese, BMI: 38.8 + 1.8 and 9 non obese, B...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Barletta C,Vagiri D,Scavo D

    更新日期:1992-07-01 00:00:00

  • Tumor and normal thyroid spheroids: from tissues to zebrafish.

    abstract:BACKGROUND:Multicellular spheroids represent an interesting experimental model with promising applications in the pre-clinical studies on anticancer drugs. We recently demonstrated that thyroid spheroids recapitulate the features of the original tissues, in either the differentiated and "stem-like" components. Here we ...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.17.02610-4

    authors: Cirello V,Gaudenzi G,Grassi ES,Colombo C,Vicentini L,Ferrero S,Persani L,Vitale G,Fugazzola L

    更新日期:2018-03-01 00:00:00

  • Pancreatitis and pancreatic cancer in patients with type 2 diabetes treated with glucagon-like peptide-1 receptor agonists: an updated meta-analysis of randomized controlled trials.

    abstract:AIM:An association between Glucagon-Like Peptide-1 Receptor Agonists (GLP1-RA) and risk of pancreatitis and pancreatic cancer has been suggested. Since its first description, several new trials (including three cardiovascular outcome trials) have been published, substantially increasing the available data set. This sug...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:10.23736/S0391-1977.20.03219-8

    authors: Nreu B,Dicembrini I,Tinti F,Mannucci E,Monami M

    更新日期:2020-07-23 00:00:00

  • Effects of adult growth hormone deficiency and growth hormone replacement on circadian rhythmicity.

    abstract::In health, growth hormone (GH) is secreted in a circadian rhythm with superimposed pulsatility. Temporal fluctuations of hormone concentrations are essential for physiological action, and loss of diurnal rhythm is important in the development of disease. GH feedback occurs through the hypothalamus and involves neurope...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: White HD,Ahmad AM,Vora JP

    更新日期:2003-03-01 00:00:00

  • [Changes in hormonal and biochemical parameters in gastric adenocarcinoma].

    abstract::In 51 patients with gastric adenocarcinoma the fasting blood concentrations of hCG, beta hCG, alpha subunits, ADH, calcitonin, enteroglucagon, gastrin, GH, melatonin, somatostatin, estradiol, CEA and pepsinogen I in the peripheral vein were estimated by radioimmunoassay at the time of diagnosis and, in those who under...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章

    doi:

    authors: Colombo F,Iannotta F,Fachinetti A,Giuliani F,Cornaggia M,Finzi G,Mantero G,Fraschini F,Malesci A,Bersani M

    更新日期:1991-07-01 00:00:00

  • GH therapy in transition age: state of the art and future perspectives.

    abstract::Growth hormone (GH) has been recently approved by the Italian Health Authorities for use in transition patients with childhood onset-growth hormone deficiency (CO-GHD). GH in addition to promote linear growth influences several key metabolic processes. In particular, in the transition period, from late adolescent to e...

    journal_title:Minerva endocrinologica

    pub_type: 杂志文章,评审

    doi:

    authors: Cappa M,Caruso M,Saggese G,Salerno MC,Tonini G

    更新日期:2015-03-01 00:00:00