The medical treatment of radioiodine-refractory differentiated thyroid cancers in 2019. A TUTHYREF® network review

Bull Cancer. 2019 Sep;106(9):812-819. doi: 10.1016/j.bulcan.2019.04.012. Epub 2019 Jun 11.

Abstract

Patients with radioiodine-refractory (RAIR) differentiated thyroid carcinoma (DTC) represent a challenging subgroup of DTC because they are at higher risk of cancer-related death. Multidisciplinary discussions can assess the role and the nature of local treatments, but also determine the optimal timing for first-line antiangiogenic therapy as some of these patients can be followed for several months or years without any treatment. In this review, we will examine the definition of RAIR-DTC, the different treatment options and finally some of the most recent cancer research breakthroughs for RAIR-DTC.

Keywords: Antiangiogenic; Molecular biology; Network; Radioiodine-refractory differentiated thyroid carcinoma; TUTHYREF; Target therapy.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angiogenesis Inhibitors / therapeutic use*
  • Antineoplastic Agents / therapeutic use*
  • Humans
  • Immunotherapy
  • Iodine Radioisotopes / therapeutic use*
  • Middle Aged
  • Network Meta-Analysis
  • Phenylurea Compounds / therapeutic use
  • Protein Kinase Inhibitors / therapeutic use
  • Quinolines / therapeutic use
  • Radiation Tolerance*
  • Sorafenib / therapeutic use
  • Thyroid Neoplasms / drug therapy*
  • Thyroid Neoplasms / mortality
  • Thyroid Neoplasms / pathology
  • Thyroid Neoplasms / radiotherapy*

Substances

  • Angiogenesis Inhibitors
  • Antineoplastic Agents
  • Iodine Radioisotopes
  • Phenylurea Compounds
  • Protein Kinase Inhibitors
  • Quinolines
  • Sorafenib
  • lenvatinib