PMID- 27210070 OWN - NLM STAT- MEDLINE DCOM- 20170303 LR - 20170303 IS - 1348-4540 (Electronic) IS - 0918-8959 (Linking) VI - 63 IP - 7 DP - 2016 Jul 30 TI - Tyrosine-kinase inhibitors to treat radioiodine-refracted, metastatic, or recurred and progressive differentiated thyroid carcinoma [Review]. PG - 597-602 LID - 10.1507/endocrj.EJ16-0064 [doi] AB - Differentiated thyroid carcinoma (DTC) is generally indolent in nature and, even though it metastasizes to distant organs, the prognosis is normally excellent. In contrast, the overall survival (OS) of patients with radioactive iodine (RAI)-refractory and progressive metastases is dire, because no effective therapies have been available to control the metastatic lesions. However, recently, administration of tyrosine-kinase inhibitors (TKIs) has become a new line of therapy for RAI-refractory and progressive metastases. Previous studies have reported significant improvement regarding the progression-free survival rates of patients with metastatic lesions. However, TKIs cause various severe adverse events (AEs) that damage patients' quality of life and can even be life-threatening. Additionally, metastatic lesions may progress significantly after stopping TKI therapy. Therefore, it is difficult to determine who is a candidate for TKI therapy, as well as how and when physicians start and stop the therapy. The present review, created by Committee of pharmacological therapy for thyroid cancer of the Japanese Society of Thyroid Surgery (JSTS) and the Japan Association of Endocrine Surgeons (JAES) describes how to appropriately use TKIs by describing what we do and do not know about treatment using TKIs. FAU - Ito, Yasuhiro AU - Ito Y AD - Committee of Pharmacological Therapy for Thyroid Cancer of Japan Association of Endocrine Surgery (JAES) and Japanese Society of Thyroid Surgery (JSTS), Japan. FAU - Suzuki, Shinichi AU - Suzuki S FAU - Ito, Ken-Ichi AU - Ito K FAU - Imai, Tsuneo AU - Imai T FAU - Okamoto, Takahiro AU - Okamoto T FAU - Kitano, Hiroya AU - Kitano H FAU - Sugitani, Iwao AU - Sugitani I FAU - Sugino, Kiminori AU - Sugino K FAU - Tsutsui, Hidemitsu AU - Tsutsui H FAU - Hara, Hisato AU - Hara H FAU - Yoshida, Akira AU - Yoshida A FAU - Shimizu, Kazuo AU - Shimizu K LA - eng PT - Journal Article PT - Review DEP - 20160520 PL - Japan TA - Endocr J JT - Endocrine journal JID - 9313485 RN - 0 (Iodine Radioisotopes) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) SB - IM MH - Adenocarcinoma/*drug therapy/pathology/radiotherapy MH - Chemotherapy, Adjuvant MH - Disease Progression MH - Humans MH - Iodine Radioisotopes/*therapeutic use MH - Neoplasm Metastasis MH - Neoplasm Recurrence, Local MH - Protein Kinase Inhibitors/*therapeutic use MH - Protein-Tyrosine Kinases/antagonists & inhibitors MH - Thyroid Neoplasms/*drug therapy/pathology/radiotherapy MH - Treatment Failure EDAT- 2016/05/24 06:00 MHDA- 2017/03/04 06:00 CRDT- 2016/05/24 06:00 PHST- 2016/05/24 06:00 [entrez] PHST- 2016/05/24 06:00 [pubmed] PHST- 2017/03/04 06:00 [medline] AID - 10.1507/endocrj.EJ16-0064 [doi] PST - ppublish SO - Endocr J. 2016 Jul 30;63(7):597-602. doi: 10.1507/endocrj.EJ16-0064. Epub 2016 May 20.