A new appraisal of iodine refractory thyroid cancer.

Abstract:

:Thyroid cancer incidence is increasing all over the world - mostly due to an increase in the detection of small tumors that were previously undetected. A small percentage of these tumors lose the ability to uptake and/or to respond to radioiodine (RAI) therapy, especially in metastatic patients. There are several new therapeutic options that have emerged in the last 5 years to treat RAI refractory thyroid cancer patients, however, it is very important to properly identify RAI refractory patients and to clarify those appropriate for these treatments. In this review, we discuss the RAI refractory definitions and the criteria that have been suggested based on RAI uptake in the post therapy scan, as well as the response after RAI therapy and the possible molecular mechanisms involved in this process. We offer a review of the therapeutic options available at the moment and the therapeutic considerations based on a patient's individualized personal characteristics, primary tumor histology, tumor burden and location and velocity of lesion growth.

journal_name

Endocr Relat Cancer

journal_title

Endocrine-related cancer

authors

Vaisman F,Carvalho DP,Vaisman M

doi

10.1530/ERC-15-0300

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

R301-10

issue

6

eissn

1351-0088

issn

1479-6821

pii

ERC-15-0300

journal_volume

22

pub_type

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