2023
DOI: 10.1016/j.drup.2023.100939
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Radioiodine therapy in advanced differentiated thyroid cancer: Resistance and overcoming strategy

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Cited by 16 publications
(9 citation statements)
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“…However, not all PTC patients respond optimally to RAI therapy, and some develop resistance to its effects. Resistance to RAI therapy in PTC is a complex phenomenon with various proposed mechanisms ( 32 ). There are several key factors contributing to PTC RAI resistance.…”
Section: Discussionmentioning
confidence: 99%
“…However, not all PTC patients respond optimally to RAI therapy, and some develop resistance to its effects. Resistance to RAI therapy in PTC is a complex phenomenon with various proposed mechanisms ( 32 ). There are several key factors contributing to PTC RAI resistance.…”
Section: Discussionmentioning
confidence: 99%
“…However, up to 20% and 10% of those with PTC will present with local recurrence and distant metastasis, respectively. Among these patients, two-thirds exhibit initial or gradual loss of the iodine uptake, indicating a status of dedifferentiation with limited effective treatment, which is known as being lethal for its less than 10% 10-yr survival rate ( Ma et al, 2019 ; Ulisse et al, 2021 ; Liu et al, 2023 ). Clinically, precise diagnostic targets and efficient therapeutic methods for these patients are still insufficient.…”
Section: Discussionmentioning
confidence: 99%
“…Thyroidectomy and radioactive iodine therapy have become the mainstay of treatment for TC. Patients with DTC without local progression and local/distant metastases can usually achieve better outcomes with surgery and radioactive iodine (RAI) therapy ( Liu et al, 2023 ). Nonetheless, the rates of structural recurrence (locoregional or distant metastases) in low-risk, intermediate-risk, and high-risk patients are 3%–13%, 21%–36%, and 68%, respectively, and patients are classified by the American Thyroid Association risk stratification criteria ( Coca-Pelaz et al, 2023 ).For patients with unresectable or metastatic DTC, RAI therapy is considered the primary therapeutic approach.…”
Section: Thyroid Cancer Treatment and Challengesmentioning
confidence: 99%