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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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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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
- [125]Suyama K Massive arterial bleeding after levatinib therapy for thyroid cancer. IntJ Cancer Clin Res. 2016; 3: 1074.
- [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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Photodynamic Therapy for Thyroid Cancer
Inglot, J., Strzelczyk, J. K., Bartusik-Aebisher, D., & Aebisher, D. (2025) · BioMed · doi:10.3390/biomed5010008 · Cited by 2 · see citing works
- 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.
- ORCID
- Shonka, David C.
- Ho, Alan
- Chintakuntlawar, Ashish V.
- Geiger, Jessica L.
- Park, Jong C.
- Seetharamu, Nagashree
- Jasim, Sina
- Abdelhamid Ahmed, Amr H.
- Bible, Keith C.
- Brose, Marcia S.
- Cabanillas, Maria E.
- Dabekaussen, Kirsten
- Davies, Louise
- Fagin, James A.
- Faquin, William C.
- Ghossein, Ronald A.
- Gopal, Raj K.
- Miyauchi, Akira
- Nikiforov, Yuri E.
- Ringel, Matthew D.
- Ryder, Mabel M.
- Sherman, Eric J.
- Sadow, Peter M.
- Shin, Jennifer J.
- Stack, Brendan C.
- Tuttle, R. Michael
- Wirth, Lori J.
- Zafereo, Mark E.
- Randolph, Gregory W.
- Venue
- Head & Neck
- Publisher
- Wiley
- Published
- 2022-03-11
- Volume
- 44
- Issue
- 6
- Pages
- 1277-1300
- ISSN
- 1043-3074 (ISSN-L)
- 1097-0347
- PMC
- PMC9332138
- 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
- green
- www.ncbi.nlm.nih.gov
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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