Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas

Anaplastic thyroid cancer (ATC) is considered to be one of the most virulent, treatment-refractory malignancies. Recent molecular insights into the biology of thyroid cancer have transformed ATC management, and BRAF/MEK targeted therapy is now incorporated into guideline-based multidisciplinary care...

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Main Authors: Simon L. Barry, Emer Lynch, Philip Bredin, Sebastian McWilliams, Julie McCarthy, Orla O’Mahony, Linda Feeley, Killian Nugent, Patrick Sheahan, Deirdre O’Hanlon, David O’Reilly, Seamus O’Reilly
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Onco
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Online Access:https://www.mdpi.com/2673-7523/4/4/30
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author Simon L. Barry
Emer Lynch
Philip Bredin
Sebastian McWilliams
Julie McCarthy
Orla O’Mahony
Linda Feeley
Killian Nugent
Patrick Sheahan
Deirdre O’Hanlon
David O’Reilly
Seamus O’Reilly
author_facet Simon L. Barry
Emer Lynch
Philip Bredin
Sebastian McWilliams
Julie McCarthy
Orla O’Mahony
Linda Feeley
Killian Nugent
Patrick Sheahan
Deirdre O’Hanlon
David O’Reilly
Seamus O’Reilly
author_sort Simon L. Barry
collection DOAJ
description Anaplastic thyroid cancer (ATC) is considered to be one of the most virulent, treatment-refractory malignancies. Recent molecular insights into the biology of thyroid cancer have transformed ATC management, and BRAF/MEK targeted therapy is now incorporated into guideline-based multidisciplinary care. We report visceral perforation in the setting of an extreme response to such therapy in a patient with ATC. Molecularly targeted therapy afforded a dramatic but life-threatening response to treatment. This report highlights the complexities of care for the patient and treating clinicians.
format Article
id doaj-art-566ca5c2df34438e99af4d01e02e1103
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issn 2673-7523
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publishDate 2024-12-01
publisher MDPI AG
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series Onco
spelling doaj-art-566ca5c2df34438e99af4d01e02e11032025-08-20T02:57:28ZengMDPI AGOnco2673-75232024-12-014442743810.3390/onco4040030Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic AreasSimon L. Barry0Emer Lynch1Philip Bredin2Sebastian McWilliams3Julie McCarthy4Orla O’Mahony5Linda Feeley6Killian Nugent7Patrick Sheahan8Deirdre O’Hanlon9David O’Reilly10Seamus O’Reilly11Department of Medical Oncology and UCC Cancer Clinical Trials Group, Cork University Hospital, Cork, IrelandDepartment of Medical Oncology and UCC Cancer Clinical Trials Group, Cork University Hospital, Cork, IrelandDepartment of Medical Oncology and UCC Cancer Clinical Trials Group, Cork University Hospital, Cork, IrelandDepartment of Radiology, South Infirmary Victoria University Hospital, Cork, IrelandDepartment of Histopathology, South Infirmary Victoria University Hospital, Cork, IrelandDepartment of Histopathology, South Infirmary Victoria University Hospital, Cork, IrelandDepartment of Histopathology, South Infirmary Victoria University Hospital, Cork, IrelandDepartment of Radiotherapy, Cork University Hospital, Cork, IrelandENTO Research Unit, School of Medicine and Health, University College Cork, Cork, IrelandDepartment of General/Breast Surgery, South Infirmary Victoria University Hospital, Cork, IrelandBeaumont RCSI Cancer Centre, Beaumont Hospital, Dublin, IrelandDepartment of Medical Oncology and UCC Cancer Clinical Trials Group, Cork University Hospital, Cork, IrelandAnaplastic thyroid cancer (ATC) is considered to be one of the most virulent, treatment-refractory malignancies. Recent molecular insights into the biology of thyroid cancer have transformed ATC management, and BRAF/MEK targeted therapy is now incorporated into guideline-based multidisciplinary care. We report visceral perforation in the setting of an extreme response to such therapy in a patient with ATC. Molecularly targeted therapy afforded a dramatic but life-threatening response to treatment. This report highlights the complexities of care for the patient and treating clinicians.https://www.mdpi.com/2673-7523/4/4/30anaplastic thyroid carcinomatargeted therapyperforationcomplications
spellingShingle Simon L. Barry
Emer Lynch
Philip Bredin
Sebastian McWilliams
Julie McCarthy
Orla O’Mahony
Linda Feeley
Killian Nugent
Patrick Sheahan
Deirdre O’Hanlon
David O’Reilly
Seamus O’Reilly
Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas
Onco
anaplastic thyroid carcinoma
targeted therapy
perforation
complications
title Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas
title_full Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas
title_fullStr Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas
title_full_unstemmed Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas
title_short Visceral Perforation Complicating BRAF/MEK Targeted Therapy of Papillary Thyroid Carcinoma with Anaplastic Areas
title_sort visceral perforation complicating braf mek targeted therapy of papillary thyroid carcinoma with anaplastic areas
topic anaplastic thyroid carcinoma
targeted therapy
perforation
complications
url https://www.mdpi.com/2673-7523/4/4/30
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