Course of Disease and Clinical Management of Patients with Poorly Differentiated Thyroid Carcinoma.

18F-FDG-PET/CT PDTC poorly differentiated thyroid cancer radioiodine therapy risk stratification

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
22 Oct 2021
Historique:
received: 28 09 2021
revised: 18 10 2021
accepted: 19 10 2021
entrez: 13 11 2021
pubmed: 14 11 2021
medline: 14 11 2021
Statut: epublish

Résumé

In patients with poorly differentiated thyroid carcinoma, the clinical course and prognostic value of response to initial radioiodine therapy is evaluated. In 47 patients, clinical and imaging features were analyzed. Patients were stratified in no (NED), biochemical (B-ED) and structural evidence of disease (S-ED) assessed at the first diagnostic control and its impact on survival was evaluated. Further, possible risk factors for a shorter disease-specific survival rate (DSS) were analyzed. In total, 17/47 patients consisted of NED, 10/47 were B-ED and 20/47 S-ED patients. At the last follow-up, 18/47 patients were NED, 2/47 patients B-ED and 27/47 patients S-ED. The median survival time was only reached for the S-ED group (median 3.9 years, 95%CI 2.8-5.1 years) and was not reached in the B-ED and NED groups. Metastases were diagnosed by a The response to initial surgery and radioiodine therapy in PDTC patients can achieve an excellent outcome and a further follow-up should be refined based on findings at the first diagnostic control. However, patients with an incomplete response and metastatic patients who become mostly radioiodine refractory show a significantly shorter survival, which makes accurate staging by

Sections du résumé

BACKGROUND BACKGROUND
In patients with poorly differentiated thyroid carcinoma, the clinical course and prognostic value of response to initial radioiodine therapy is evaluated.
METHODS METHODS
In 47 patients, clinical and imaging features were analyzed. Patients were stratified in no (NED), biochemical (B-ED) and structural evidence of disease (S-ED) assessed at the first diagnostic control and its impact on survival was evaluated. Further, possible risk factors for a shorter disease-specific survival rate (DSS) were analyzed.
RESULTS RESULTS
In total, 17/47 patients consisted of NED, 10/47 were B-ED and 20/47 S-ED patients. At the last follow-up, 18/47 patients were NED, 2/47 patients B-ED and 27/47 patients S-ED. The median survival time was only reached for the S-ED group (median 3.9 years, 95%CI 2.8-5.1 years) and was not reached in the B-ED and NED groups. Metastases were diagnosed by a
CONCLUSION CONCLUSIONS
The response to initial surgery and radioiodine therapy in PDTC patients can achieve an excellent outcome and a further follow-up should be refined based on findings at the first diagnostic control. However, patients with an incomplete response and metastatic patients who become mostly radioiodine refractory show a significantly shorter survival, which makes accurate staging by

Identifiants

pubmed: 34771473
pii: cancers13215309
doi: 10.3390/cancers13215309
pmc: PMC8582377
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Kuhbier-Langewiesche foundation and Bavarian Equal Opportunities Sponsorship
ID : none

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Auteurs

Freba Grawe (F)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.

Atika Cahya (A)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.

Matthias P Fabritius (MP)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Leonie Beyer (L)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.

Vera Wenter (V)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.

Johannes Ruebenthaler (J)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Thomas Geyer (T)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Caroline Burgard (C)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.

Peter Bartenstein (P)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.
Comprehensive Cancer Center (CCC LMU) and Interdisciplinary Center for Thyroid Carcinoma (ISKUM), University Hospital, LMU Munich, 81377 Munich, Germany.

Harun Ilhan (H)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.
Comprehensive Cancer Center (CCC LMU) and Interdisciplinary Center for Thyroid Carcinoma (ISKUM), University Hospital, LMU Munich, 81377 Munich, Germany.

Christine Spitzweg (C)

Comprehensive Cancer Center (CCC LMU) and Interdisciplinary Center for Thyroid Carcinoma (ISKUM), University Hospital, LMU Munich, 81377 Munich, Germany.
Department of Internal Medicine IV, University Hospital, LMU Munich, 81377 Munich, Germany.

Andrei Todica (A)

Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, Germany.
Comprehensive Cancer Center (CCC LMU) and Interdisciplinary Center for Thyroid Carcinoma (ISKUM), University Hospital, LMU Munich, 81377 Munich, Germany.

Classifications MeSH