Cited by 117Thyroid Cancer Diagnosis and TreatmentThyroid and Parathyroid SurgeryThyroid Disorders and Treatments

American Head and Neck Society Endocrine Surgery Section and International Thyroid Oncology Group consensus statement on mutational testing in thyroid cancer: Defining advanced thyroid cancer and its targeted treatment

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Shonka, David C., Ho, Alan, Chintakuntlawar, Ashish V., Geiger, Jessica L., Park, Jong C., Seetharamu, Nagashree, Jasim, Sina, Abdelhamid Ahmed, Amr H. +23 more·2022·Head & Neck

Abstract

Background: The development of systemic treatment options leveraging the molecular landscape of advanced thyroid cancer is a burgeoning field. This is a multidisciplinary evidence‐based statement on the definition of advanced thyroid cancer and its targeted systemic treatment. Methods: An expert panel was assembled, a literature review was conducted, and best practice statements were developed. The modified Delphi method was applied to assess the degree of consensus for the statements developed by the author panel. Results: A review of the current understanding of thyroid oncogenesis at a molecular level is presented and characteristics of advanced thyroid cancer are defined. Twenty statements in topics including the multidisciplinary management, molecular evaluation, and targeted systemic treatment of advanced thyroid cancer are provided. Conclusions: With the growth in targeted treatment options for thyroid cancer, a consensus definition of advanced disease and statements regarding the utility of molecular testing and available targeted systemic therapy is warranted.

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Crossref · 10.1002/hed.27025

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  • Anaplastic thyroid cancer is characterized by median survival of several months, aggressive course, rapid metastasis in up to 50% at admission, and invasion of surrounding tissues.

    “It is characterized by a median survival of several months, an aggressive course, rapid metastasis, in up to 50% of patients at the time of hospital admission, and invasion of surrounding tissues. [1,2,17]”

    From Photodynamic Therapy for Thyroid Cancer (2025) · cites this paper as [2]

    The Anaplastic Thyroid Cancer Introduction describes ATC as highly aggressive, reports a historical median survival of approximately five months, and says most patients present with distant metastases and extension beyond the thyroid. It does not establish how rapidly metastases develop, and its statement that a majority present with distant metastases does not support the claimed figure of up to 50% at admission. (LLM, conf=0.88)

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Research works printed but not linked: 2

  1. [125]Suyama K Massive arterial bleeding after levatinib therapy for thyroid cancer. IntJ Cancer Clin Res. 2016; 3: 1074.
  2. [128]Cabanillas ME, Drilon A, Farago AF, Larotrectinib treatment of advanced TRK fusion thyroid cancer. Ann Oncol. 2020; 31: S1026– S1033. doi: 10.1016/annonc/annonc293 · DOI

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Authors
Shonka, D. C., Ho, A., Chintakuntlawar, A. V., Geiger, J. L., Park, J. C., Seetharamu, N., Jasim, S., Abdelhamid Ahmed, A. H., Bible, K. C., Brose, M. S., Cabanillas, M. E., Dabekaussen, K., Davies, L., Dias‐Santagata, D., Fagin, J. A., Faquin, W. C., Ghossein, R. A., Gopal, R. K., Miyauchi, A., Nikiforov, Y. E., Ringel, M. D., Robinson, B., Ryder, M. M., Sherman, E. J., Sadow, P. M., Shin, J. J., Stack, B. C., Tuttle, R. M., Wirth, L. J., Zafereo, M. E., & Randolph, G. W.
Affiliations
  • University of Virginia (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • Mayo Clinic (US)
  • Cleveland Clinic (US)
  • Massachusetts General Hospital (US)
  • Hofstra University (US)
  • Washington University in St. Louis (US)
  • Department of Otolaryngology – Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA
  • Abramson Cancer Center (US)
  • The University of Texas MD Anderson Cancer Center (US)
  • Brigham and Women's Hospital (US)
  • Dartmouth College (US)
  • Department of Pathology Massachusetts General Hospital, Harvard Medical School Boston Massachusetts USA
  • Harvard University (US)
  • Kuma Hospital (JP)
  • University of Pittsburgh (US)
  • The Ohio State University Wexner Medical Center (US)
  • The University of Sydney (AU)
  • SIU Medicine (US)
  • Massachusetts Eye and Ear Infirmary (US)
Corresponding author
Shonka, David C.
Venue
Head & Neck
Publisher
Wiley
Published
2022-03-11
Volume
44
Issue
6
Pages
1277-1300
ISSN
  • 1043-3074 (ISSN-L)
  • 1097-0347
OpenAlex
W4221035002
Cited by
117
References
152
Citations by year
2026: 17 · 2025: 34 · 2024: 30 · 2023: 30 · 2022: 6
FWCI
18.52
Type
journal article
Language
en
Open access
Locations
  • Head & Neck (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (P01CA240239)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
  • Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
Keywords
advanced thyroid cancer, molecular testing, targeted systemic therapy, multidisciplinary management
MeSH terms
Humans, Medical Oncology, Thyroid Function Tests, Thyroid Neoplasms, United States, Consensus

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