国际肿瘤学杂志 ›› 2024, Vol. 51 ›› Issue (7): 464-467.doi: 10.3760/cma.j.cn371439-20231008-00076

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放射性碘难治性分化型甲状腺癌再分化治疗研究进展

刘晶1, 张俊2()   

  1. 1大连医科大学研究生院,大连 116044
    2南京医科大学附属泰州人民医院核医学科,泰州 225300
  • 收稿日期:2023-10-08 修回日期:2024-02-16 出版日期:2024-07-08 发布日期:2024-08-14
  • 通讯作者: 张俊,Email: dr.junzhang@njmu.edu.cn

Progress in the study of redifferentiation therapy for radioactive iodine-refractory differentiated thyroid carcinoma

Liu Jing1, Zhang Jun2()   

  1. 1Graduate School, Dalian Medical University, Dalian 116044, China
    2Department of Nuclear Medicine, Affiliated Jiangsu Taizhou People's Hospital of Nanjing Medical University, Taizhou 225300, China
  • Received:2023-10-08 Revised:2024-02-16 Online:2024-07-08 Published:2024-08-14
  • Contact: Zhang Jun, Email: dr.junzhang@njmu.edu.cn

摘要:

分化型甲状腺癌总体预后良好,但仍有少部分患者会出现局部复发和远处转移,在初始或治疗过程中丧失摄碘能力,成为放射性碘难治性分化型甲状腺癌(RAIR-DTC),预后较差。RAIR-DTC患者治疗方法有限,且效果欠佳,通过药物促进再分化使RAIR-DTC恢复摄碘能力是治疗的重要策略之一。

关键词: 碘放射性同位素, 甲状腺肿瘤, 细胞去分化, 分子靶向治疗

Abstract:

The overall prognosis of differentiated thyroid cancer is good, but a small number of patients will still develop local recurrence and distant metastasis, and lose iodine uptaking ability in the initial or treatment process, becoming radioactive iodine-refractory differentiated thyroid carcinoma (RAIR-DTC), with a poor prognosis. Treatment options for RAIR-DTC patients are limited with poor results, and restoration of iodine uptaking capacity in RAIR-DTC through pharmacological promotion of redifferentiation is one of the important strategies for treatment.

Key words: Iodine radioisotopes, Thyroid neoplasms, Cell dedifferentiation, Molecular targeted therapy