The Complex and Evolving World of Thyroid Cancer: From Basic to Clinical Studies

A special issue of Cancers (ISSN 2072-6694).

Deadline for manuscript submissions: closed (8 March 2023) | Viewed by 8025

Special Issue Editors


E-Mail Website
Guest Editor
Department of Public Health, University of Naples Federico II, 80123 Naples, Italy
Interests: thyroid cancer; thyroid metabolism; tyrosine kinase inhibitors

E-Mail Website
Guest Editor
Department of Nuclear Medicine and Endocrine Oncology, Institut Gustave Roussy and University Paris-Saclay, 94800 Villejuif, France
Interests: thyroid cancer

Special Issue Information

Dear Colleagues,

Thyroid nodules are a common clinical entity, and differentiated thyroid cancer is becoming an increasingly prevalent condition worldwide.

With the need to identify thyroid cancer, different novel approaches, ranging from the radiological evolution of old tools (ultrasonography, radiological and nuclear medicine-based techniques) to novel molecular testing and biomarkers that are often based on NGS technique, have been developed and introduced in clinical practice. Furthermore, new pathological and clinical classifications have been proposed to take into account tumor behavior, specific features and risk of recurrence. Even if, in most cases, the initial treatment is curative, a certain number of patients experience local or distant recurrence and require further medical or surgical treatment.

In this scenario, personalized-based medicine in the treatment of advanced iodine-refractory thyroid carcinoma is a rapidly evolving field of personalized-based medicine with novel mutation-specific tyrosine kinase inhibitors that have been recently approved and made available in clinical practice.

However, many issues remain a matter of debate, regarding, for example, the indication on how and when to start systemic therapy, which drug to use initially or in the follow-up, how to prevent and handle adverse effects and how to combine systemic treatment with local-based therapeutic procedures.

This Special Issue of Cancers aims to present the latest research on thyroid cancer. This Special Issue will highlight current research efforts and clinical studies to understand the complex variety of human thyroid carcinoma, from the almost clinically irrelevant microcarcinoma to the aggressive anaplastic thyroid cancer, in basic, as well as pre-clinical and clinical studies.

Prof. Domenico Salvatore
Prof. Martin Schlumberger
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • thyroid cancer
  • tyrosine kinase inhibitors
  • DTC
  • ANA

Published Papers (3 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review

14 pages, 1771 KiB  
Article
Screening Leads to Overestimated Associations of Thyroid Dysfunction and Thyroiditis with Thyroid Cancer Risk
by Young Shin Song, Kyung-Soo Kim, Soo-Kyung Kim, Yong-Wook Cho and Hyo Geun Choi
Cancers 2021, 13(21), 5385; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers13215385 - 27 Oct 2021
Cited by 3 | Viewed by 1609
Abstract
We aimed to assess the relationships of functional thyroid disease and thyroiditis with subsequent thyroid cancer, which is controversial due to various confounders, and the effect of thyroid disease workup on this association. We used the cohort data from 2002 to 2015 (Study [...] Read more.
We aimed to assess the relationships of functional thyroid disease and thyroiditis with subsequent thyroid cancer, which is controversial due to various confounders, and the effect of thyroid disease workup on this association. We used the cohort data from 2002 to 2015 (Study I, n = 28,330) and the entire data from 2002 to 2019 (Study II, n = 883,074) of the Korean National Health Insurance Service database, and performed logistic regression and subgroup analyses with various covariates. In Study I, hypothyroidism, thyroiditis, autoimmune thyroiditis, hyperthyroidism, and Graves’ disease showed positive associations with thyroid cancer. In Study II, after adjustment for covariates including the number of thyroid function tests, the ORs for thyroid cancer were significantly reduced in all thyroid diseases. Hypothyroidism, thyroiditis, and autoimmune thyroiditis were positively associated (adjusted odds ratio, OR (95% confidence interval, CI) 1.28 (1.25–1.32), 1.36 (1.31–1.42), and 1.17 (1.11–1.24), respectively), whereas hyperthyroidism and Graves’ disease were negatively associated with thyroid cancer (adjusted OR (95% CI) 0.80 (0.77–0.83) and 0.69 (0.65–0.74), respectively). Multiple subgroup analyses in both studies showed consistent results. In this large population-based, nationwide study, we confirmed that thyroid disease workup leads to overestimation of associations of thyroid dysfunction and thyroiditis with thyroid cancer risk. Full article
Show Figures

Figure 1

10 pages, 1306 KiB  
Article
Long-Term Prognostic Value of the Response to Therapy Assessed by Laboratory and Imaging Findings in Patients with Differentiated Thyroid Cancer
by Michele Klain, Emilia Zampella, Leandra Piscopo, Fabio Volpe, Mariarosaria Manganelli, Stefania Masone, Leonardo Pace, Domenico Salvatore, Martin Schlumberger and Alberto Cuocolo
Cancers 2021, 13(17), 4338; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers13174338 - 27 Aug 2021
Cited by 11 | Viewed by 1835
Abstract
This study assessed the long-term predictive value of the response to therapy, evaluated by serum thyroglobulin (Tg) determination and neck ultrasound, and estimated the potential additional impact of diagnostic whole-body scan (WBS) in patients with differentiated thyroid cancer (DTC) treated with surgery and [...] Read more.
This study assessed the long-term predictive value of the response to therapy, evaluated by serum thyroglobulin (Tg) determination and neck ultrasound, and estimated the potential additional impact of diagnostic whole-body scan (WBS) in patients with differentiated thyroid cancer (DTC) treated with surgery and radioactive iodine (RAI) therapy. We retrospectively evaluated 606 DTC patients treated with surgery and RAI. Response to 131I therapy at 12 months was assessed by serum Tg measurement, neck ultrasound, and diagnostic WBS. According to American Thyroid Association (ATA) guidelines, patients were classified as having a low, intermediate or high risk of recurrence and at 12 months as having an excellent response (ER) or no-ER. Follow-up was then performed every 6–12 months with serum Tg determination and imaging procedures. With a median follow-up of 105 months (range 10–384), 42 (7%) events requiring further treatments occurred. Twenty-five patients had additional RAI therapy, 11 with structural disease in the thyroid bed, eight in both thyroid bed and neck lymph nodes, four had lung metastases and two had bone metastases. The other 17 patients had additional surgery for nodal disease followed by RAI therapy. The ATA intermediate and high risk of recurrence, post-operative and pre-RAI therapy Tg ≥ 10 ng/mL, and the absence of ER at 12 months were independent predictors of events. Diagnostic WBS at 12 months permitted the identification of only five recurrences among the 219 ER patients according to serum Tg levels and ultrasound. In DTC patients, the response to therapy at 12 months after RAI therapy could rely on serum Tg measurement and neck ultrasound, while diagnostic WBS was not routinely indicated in patients considered in ER. Full article
Show Figures

Figure 1

Review

Jump to: Research

21 pages, 3596 KiB  
Review
Advances in Functional Imaging of Differentiated Thyroid Cancer
by Michele Klain, Emilia Zampella, Carmela Nappi, Emanuele Nicolai, Raffaele Ambrosio, Elena Califaretti, Livia Lamartina, Martin Schlumberger, Désirée Deandreis, Domenico Salvatore and Alberto Cuocolo
Cancers 2021, 13(19), 4748; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers13194748 - 23 Sep 2021
Cited by 11 | Viewed by 3788
Abstract
The present review provides a description of recent advances in the field of functional imaging that takes advantage of the functional characteristics of thyroid neoplastic cells (such as radioiodine uptake and FDG uptake) and theragnostic approach of differentiated thyroid cancer (DTC). Physical and [...] Read more.
The present review provides a description of recent advances in the field of functional imaging that takes advantage of the functional characteristics of thyroid neoplastic cells (such as radioiodine uptake and FDG uptake) and theragnostic approach of differentiated thyroid cancer (DTC). Physical and biological characteristics of available radiopharmaceuticals and their use with state-of-the-art technologies for diagnosis, treatment, and follow-up of DTC patients are depicted. Radioactive iodine is used mostly with a therapeutic intent, while PET/CT with 18F-FDG emerges as a useful tool in the diagnostic management and complements the use of radioactive iodine. Beyond 18F-FDG PET/CT, other tracers including 124I, 18F-TFB and 68Ga-PSMA, and new methods such as PET/MR, might offer new opportunities in selecting patients with DTC for specific imaging modalities or treatments. Full article
Show Figures

Figure 1

Back to TopTop