Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival

Anaplastic thyroid cancer (ATC) comprises 1-2% of all thyroid cancers and is one of the most aggressive cancers with a median survival rate of around four months. The average 5-year survival rate has been reported to be around 3.6%. In this paper, we have discussed management and prognostic variable...

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Main Authors: Nasir Hussain, Usman Mustafa, Su Hyeon Jung, Alan D. Gilman
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/783862
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author Nasir Hussain
Usman Mustafa
Su Hyeon Jung
Alan D. Gilman
author_facet Nasir Hussain
Usman Mustafa
Su Hyeon Jung
Alan D. Gilman
author_sort Nasir Hussain
collection DOAJ
description Anaplastic thyroid cancer (ATC) comprises 1-2% of all thyroid cancers and is one of the most aggressive cancers with a median survival rate of around four months. The average 5-year survival rate has been reported to be around 3.6%. In this paper, we have discussed management and prognostic variables of a patient with ATC who has survived for more than 5 years. A 59-year-old female was referred to our facility for an elective thyroid and parathyroidectomy for concerns of thyroid papillary cancer and hyperparathyroidism. At the time of surgery, the tumor mass had invaded the muscular layer of esophagus; radicle thyroidectomy parathyroidectomy along with removal of muscle layer of esophagus was performed, and diagnosis of ATC was made. The patient was treated with chemoradiation with a good treatment response and no recurrence of tumor for two and a half years until PET/CT followed by wedge biopsy of lung confirmed ATC recurrence. The patient was treated with another course of radiation treatment with a good treatment response. Since then, the patient has been following in our outpatient oncology clinic and has no evidence of tumor recurrence. Aggressive multimodal approach of combining radicle surgery with chemoradiation treatment in select patients of ATC with no distant metastasis helps improve prognosis.
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spelling doaj-art-b3cf73c07ff141cb8ba3be39edd248e62025-02-03T06:06:12ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/783862783862Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term SurvivalNasir Hussain0Usman Mustafa1Su Hyeon Jung2Alan D. Gilman3Department of Internal Medicine, Saint Joseph Hospital, Presence Health, 2900 North Lake Shore Drive, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, Presence Health, 2900 North Lake Shore Drive, Chicago, IL 60657, USADepartment of Internal Medicine, Saint Joseph Hospital, Presence Health, 2900 North Lake Shore Drive, Chicago, IL 60657, USADepartment of Hematology and Oncology, Saint Joseph Hospital, Chicago, IL, USAAnaplastic thyroid cancer (ATC) comprises 1-2% of all thyroid cancers and is one of the most aggressive cancers with a median survival rate of around four months. The average 5-year survival rate has been reported to be around 3.6%. In this paper, we have discussed management and prognostic variables of a patient with ATC who has survived for more than 5 years. A 59-year-old female was referred to our facility for an elective thyroid and parathyroidectomy for concerns of thyroid papillary cancer and hyperparathyroidism. At the time of surgery, the tumor mass had invaded the muscular layer of esophagus; radicle thyroidectomy parathyroidectomy along with removal of muscle layer of esophagus was performed, and diagnosis of ATC was made. The patient was treated with chemoradiation with a good treatment response and no recurrence of tumor for two and a half years until PET/CT followed by wedge biopsy of lung confirmed ATC recurrence. The patient was treated with another course of radiation treatment with a good treatment response. Since then, the patient has been following in our outpatient oncology clinic and has no evidence of tumor recurrence. Aggressive multimodal approach of combining radicle surgery with chemoradiation treatment in select patients of ATC with no distant metastasis helps improve prognosis.http://dx.doi.org/10.1155/2013/783862
spellingShingle Nasir Hussain
Usman Mustafa
Su Hyeon Jung
Alan D. Gilman
Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival
Case Reports in Oncological Medicine
title Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival
title_full Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival
title_fullStr Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival
title_full_unstemmed Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival
title_short Aggressive Multimodal Approach for Anaplastic Thyroid Cancer and Long-Term Survival
title_sort aggressive multimodal approach for anaplastic thyroid cancer and long term survival
url http://dx.doi.org/10.1155/2013/783862
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AT usmanmustafa aggressivemultimodalapproachforanaplasticthyroidcancerandlongtermsurvival
AT suhyeonjung aggressivemultimodalapproachforanaplasticthyroidcancerandlongtermsurvival
AT alandgilman aggressivemultimodalapproachforanaplasticthyroidcancerandlongtermsurvival