Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues

The patients with progressive metastatic radioiodine refractory differentiated thyroid cancer have a rather unfavorable prognosis. Their life expectancy, according to various authors, does not exceed 3–5 years. To date, tyrosine kinase inhibitors have demonstrated their effectiveness in the treatmen...

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Main Authors: E. V. Borodavina, A. Yu. Shurinov, V. V. Krylov
Format: Article
Language:Russian
Published: ABV-press 2025-03-01
Series:Опухоли головы и шеи
Subjects:
Online Access:https://ogsh.abvpress.ru/jour/article/view/1041
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author E. V. Borodavina
A. Yu. Shurinov
V. V. Krylov
author_facet E. V. Borodavina
A. Yu. Shurinov
V. V. Krylov
author_sort E. V. Borodavina
collection DOAJ
description The patients with progressive metastatic radioiodine refractory differentiated thyroid cancer have a rather unfavorable prognosis. Their life expectancy, according to various authors, does not exceed 3–5 years. To date, tyrosine kinase inhibitors have demonstrated their effectiveness in the treatment of such patients, and in particular, lenvatinib, which is recommended by all leading world communities as the first line of targeted therapy for such patients. The undoubted benefit of targeted therapy with lenvatinib is associated with the development of a fairly large number of adverse events and, accordingly, a decrease in the quality of life of patients. To date, most experts have come to the unambiguous conclusion that there is no need to rush to prescribe targeted therapy without real need. Unfortunately, despite the huge number of different schools and conferences devoted to this topic, most specialists have quite limited experience in the treatment and dynamic observation of patients with progressive radioiodine refractory differentiated thyroid cancer.In this article, using a clinical example, we will try to shed light on the difficulties encountered in the treatment of patients with progressive metastatic radiodefractive differentiated thyroid cancer.
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institution Kabale University
issn 2222-1468
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language Russian
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series Опухоли головы и шеи
spelling doaj-art-eb003ca71f954b1ab9b505c19f9319022025-08-20T04:00:26ZrusABV-pressОпухоли головы и шеи2222-14682411-46342025-03-01151404610.17650/2222-1468-2025-15-1-40-46624Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issuesE. V. Borodavina0A. Yu. Shurinov1V. V. Krylov2A.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Centre, Ministry of Health of RussiaA.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Centre, Ministry of Health of RussiaA.F. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Centre, Ministry of Health of RussiaThe patients with progressive metastatic radioiodine refractory differentiated thyroid cancer have a rather unfavorable prognosis. Their life expectancy, according to various authors, does not exceed 3–5 years. To date, tyrosine kinase inhibitors have demonstrated their effectiveness in the treatment of such patients, and in particular, lenvatinib, which is recommended by all leading world communities as the first line of targeted therapy for such patients. The undoubted benefit of targeted therapy with lenvatinib is associated with the development of a fairly large number of adverse events and, accordingly, a decrease in the quality of life of patients. To date, most experts have come to the unambiguous conclusion that there is no need to rush to prescribe targeted therapy without real need. Unfortunately, despite the huge number of different schools and conferences devoted to this topic, most specialists have quite limited experience in the treatment and dynamic observation of patients with progressive radioiodine refractory differentiated thyroid cancer.In this article, using a clinical example, we will try to shed light on the difficulties encountered in the treatment of patients with progressive metastatic radiodefractive differentiated thyroid cancer.https://ogsh.abvpress.ru/jour/article/view/1041progressive metastatic radioiodine refractory differentiated thyroid cancerprogressionthyroglobulinresponse evaluation criteria in solid tumorstargeted therapylenvatinibresponse to treatment
spellingShingle E. V. Borodavina
A. Yu. Shurinov
V. V. Krylov
Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues
Опухоли головы и шеи
progressive metastatic radioiodine refractory differentiated thyroid cancer
progression
thyroglobulin
response evaluation criteria in solid tumors
targeted therapy
lenvatinib
response to treatment
title Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues
title_full Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues
title_fullStr Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues
title_full_unstemmed Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues
title_short Advanced metastatic radioiodine refractory differentiated thyroid cancer: current treatment and dynamic surveillance issues
title_sort advanced metastatic radioiodine refractory differentiated thyroid cancer current treatment and dynamic surveillance issues
topic progressive metastatic radioiodine refractory differentiated thyroid cancer
progression
thyroglobulin
response evaluation criteria in solid tumors
targeted therapy
lenvatinib
response to treatment
url https://ogsh.abvpress.ru/jour/article/view/1041
work_keys_str_mv AT evborodavina advancedmetastaticradioiodinerefractorydifferentiatedthyroidcancercurrenttreatmentanddynamicsurveillanceissues
AT ayushurinov advancedmetastaticradioiodinerefractorydifferentiatedthyroidcancercurrenttreatmentanddynamicsurveillanceissues
AT vvkrylov advancedmetastaticradioiodinerefractorydifferentiatedthyroidcancercurrenttreatmentanddynamicsurveillanceissues