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Arch. endocrinol. metab. (Online) ; 65(2): 242-247, Mar.-Apr. 2021. graf
Article Dans Anglais | LILACS | ID: biblio-1248808

Résumé

SUMMARY Anaplastic thyroid carcinoma is the rarest tumor of the thyroid gland, representing less than 2% of clinically recognized thyroid cancers. Typically, it has an extremely rapid onset, fatal outcomes in most cases, and a median overall survival of 3 to 10 months despite aggressive multidisciplinary management. The presence of targetable mutations in anaplastic thyroid carcinoma patients is an opportunity for treatment when conventional therapeutics approaches are not effective, a frequent situation in the majority of patients. We present our experience in the management of a patient with unresectable anaplastic thyroid cancer who had a remarkable and rapid response to treatment with dabrafenib and trametinib during the COVID-19 pandemic. After four weeks of dabrafenib 150 mg twice daily plus trametinib 2 mg daily, he showed a dramatic reduction of the cervical mass around 90%. Nearly eight weeks under treatment with dabrafenib plus trametinib, the patient remains with minimal locoregional disease without distant metastases.


Sujets)
Humains , Mâle , Tumeurs de la thyroïde/traitement médicamenteux , Carcinome anaplasique de la thyroïde/génétique , Carcinome anaplasique de la thyroïde/traitement médicamenteux , COVID-19 , Oximes , Pyridones , Pyrimidinones , Protocoles de polychimiothérapie antinéoplasique/usage thérapeutique , Protéines proto-oncogènes B-raf/génétique , Pandémies , SARS-CoV-2 , Imidazoles , Mutation
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