Duo Li Jin, Rong Jiang, Bin Wang, Hua Ma Chun, Wei Sun Li, Yuan L V
Department of Tumor Intervention, Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Huanhu Hospital, Tianjin 300060, P.R. China.
Oncol Lett. 2015 Jul;10(1):492-496. doi: 10.3892/ol.2015.3174. Epub 2015 May 4.
Thyroid cancer is the most common endocrine malignancy, with an increasing prevalence worldwide. Poorly-differentiated thyroid cancer (PDTC) is relatively rare and its prognosis is poor. To date, no ideal treatment strategy is available for patients with advanced recurrent PDTC, particularly for patients in crisis. However, partial success in treating thyroid cancer has been achieved with targeted therapy, and advances made in understanding the molecular biology of the tumor. The current study describes the case of a patient diagnosed with PDTC following presentation with hoarseness, orthopnea, and a large right neck mass. A transient partial response to sunitinib malate treatment was achieved for >3 months. In addition, the current study reviewed the relevant literature and discussed the therapeutic value of sunitinib as a more favorable treatment strategy for patients with advanced recurrent PDTC compared with the currently available treatments. Successful treatment with sunitinib, as well as molecular analysis of the tumor, occurred in the present case. Sunitinib was determined to have potential in treating thyroid tumors, however, larger prospective studies are required to validate the findings of the current case study prior to the application of this agent in clinical practice.
甲状腺癌是最常见的内分泌恶性肿瘤,在全球范围内发病率呈上升趋势。低分化甲状腺癌(PDTC)相对罕见,预后较差。迄今为止,对于晚期复发性PDTC患者,尤其是处于危急状态的患者,尚无理想的治疗策略。然而,靶向治疗在甲状腺癌治疗中已取得部分成功,并且在肿瘤分子生物学的理解方面也有进展。本研究描述了一例患者,该患者因声音嘶哑、端坐呼吸和右颈部巨大肿块就诊,被诊断为PDTC。对苹果酸舒尼替尼治疗有超过3个月的短暂部分缓解。此外,本研究回顾了相关文献,并讨论了与现有治疗方法相比,舒尼替尼作为晚期复发性PDTC患者更有利治疗策略的治疗价值。本病例成功应用了舒尼替尼治疗并对肿瘤进行了分子分析。已确定舒尼替尼在治疗甲状腺肿瘤方面具有潜力,然而,在将该药物应用于临床实践之前,需要更大规模的前瞻性研究来验证本病例研究的结果。