AN ALTERNATIVE THERAPY OPTION IN METASTATIC THYROID CANCER: PEPTIDE RECEPTOR RADIONUCLIDE THERAPY

Yıl 2020, Cilt: 83 Sayı: 4, 339 - 344, 19.10.2020

Havva Yeşil Çınkır Umut Elboğa

Öz

Objective: In this study, we aimed to evaluate the results of peptide receptor radionuclide therapy (PRRT) in the treatment of metastatic thyroid cancer patients. Material and Method: In total, 10 patients with metastatic thyroid cancer treated with PRRT were evaluated. There were 5 medullary thyroid cancer (MTC) patients and 5 patients had differentiated thyroid cancer (DTC). Results: Median age at first PRRT was 61.5 (38-79) years and 5/10 (50%) were female. The mean overall survival (OS) was 19.2 months (95% CI; 4.1-34.3) after the first PRRT. The mean progression-free survival (PFS) was 4.5 months (95% CI; 2.8-6.3). According to pathologic subgroup analysis, the mean OS were 13.8 months (95% CI; 4.0-23.7) in DTC and 24.2 (95% CI; 0-48.8) in MTC after first PRRT (p:0.555). Five patients had stable disease and one patient had partial response. Minor hematological toxicity was observed in 4 patients. Conclusion: PRRT appears to be an alternative treatment option for thyroid cancer. It is thought that the results will be more desirable as the patients take the treatment in the earlier stages.

Anahtar Kelimeler

Radionuclide therapy, survival, thyroid cancer

METASTATİK TİROİD KANSERİNDE ALTERNATİF TEDAVİ SEÇENEĞİ: PEPTİD RESEPTÖR RADYONÜKLİD TEDAVİ

Öz

Amaç: Bu çalışmada, metastatik tiroid kanserli hastaların tedavisinde peptid reseptörü radyonüklid tedavisinin (PRRT) sonuçlarını değerlendirmeyi amaçladık. Gereç ve Yöntem: PRRT ile tedavi edilen metastatik tiroid kanseri olan 10 hasta değerlendirildi. Beş medüller tiroid karsinomu (MTC) ve 5 differansiye tiroid karsinomu (DTC) mevcuttu. Bulgular: İlk PRRT uygulamasında ortalama yaş 61,5 (38-79) yıl ve hastaların 5/10 (%50)’u kadındı. Ortalama genel sağkalım (GSK), ilk PRRT’ den sonra 19,2 ay (%95 CI; 4,1-34,3) idi. Ortalama progresyonsuz sağkalım 4,5 aydı (%95 CI; 2,8-6,3). Patolojik alt grup analizine göre ilk PRRT sonrası ortalama GSK; DTC’de 13,8 ay (%95 CI; 4,0-23,7) ve MTC’de 24,2 (%95 CI; 0-48,8) idi (p:0.555). Beş hastada stabil hastalık, bir hastada kısmi yanıt saptandı. Dört hastada minör hematolojik toksisite gözlendi. Sonuç: PRRT tiroid kanseri için alternatif bir tedavi seçeneği olarak görünmektedir. Hastaların tedaviyi erken evrelerde almasıyla sonuçların daha iyi olacağı düşünülmektedir.

Anahtar Kelimeler

Radyonüklid tedavi, sağkalım, tiroid kanseri

Kaynakça

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