Anaplastic Thyroid Cancer: New Horizons and Challenges

Endocrinol Metab Clin North Am. 2022 Jun;51(2):391-401. doi: 10.1016/j.ecl.2021.11.020. Epub 2022 May 4.

Abstract

Anaplastic thyroid cancer (ATC) remains one of the most aggressive and deadliest malignancies. Traditionally, treatment consisted of cytotoxic chemotherapy and radiation therapy, with or without surgery, although a large proportion of patients were often directed toward palliative/hospice care. In the past decade, significant advances have been made through the advent of targeted therapies and immunotherapy. For patients with targetable disease and considerable treatment response, surgery and other multidisciplinary adjuvant therapies can now be considered. Overall, the era of untreatable ATC is progressively being replaced by highly personalized multidisciplinary therapies, actively shifting the treatment pendulum of this disease.

Keywords: Anaplastic thyroid cancer; BRAF/MEK inhibitor; Clinical trial; Immunotherapy; Multidisciplinary; Surgery; Targeted therapy.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Combined Modality Therapy
  • Humans
  • Immunotherapy
  • Thyroid Carcinoma, Anaplastic* / diagnosis
  • Thyroid Carcinoma, Anaplastic* / therapy
  • Thyroid Neoplasms* / diagnosis
  • Thyroid Neoplasms* / pathology
  • Thyroid Neoplasms* / therapy