Thyroid Carcinoma, Version 2.2022 NCCN CLINICAL PRACTICE GUIDELINES IN ONCOLOGY

Robert I. Haddad, Lindsay Bischoff, Douglas Ball, Victor Bernet, Erik Blomain, Naifa Lamki Busaidy, Michael Campbell, Paxton Dickson, Quan Yang Duh, Hormoz Ehya, Whitney S. Goldner, Theresa Guo, Megan Haymart, Shelby Holt, Jason P. Hunt, Andrei Iagaru, Fouad Kandeel, Dominick M. Lamonica, Susan Mandel, Stephanie MarkovinaBryan McIver, Christopher D. Raeburn, Rod Rezaee, John A. Ridge, Mara Y. Roth, Randall P. Scheri, Jatin P. Shah, Jennifer A. Sipos, Rebecca Sippel, Cord Sturgeon, Thomas N. Wang, Lori J. Wirth, Richard J. Wong, Michael Yeh, Carly J. Cassara, Susan Darlow

Research output: Contribution to journalArticlepeer-review

172 Scopus citations

Abstract

Differentiated thyroid carcinomas is associated with an excellent prognosis. The treatment of choice for differentiated thyroid carcinoma is surgery, followed by radioactive iodine ablation (iodine-131) in select patients and thyroxine therapy in most patients. Surgery is also the main treatment for medullary thyroid carcinoma, and kinase inhibitors may be appropriate for select patients with recurrent or persistent disease that is not resectable. Anaplastic thyroid carcinoma is almost uniformly lethal, and iodine-131 imaging and radioactive iodine cannot be used. When systemic therapy is indicated, targeted therapy options are preferred. This article describes NCCN recommendations regarding management of medullary thyroid carcinoma and anaplastic thyroid carcinoma, and surgical management of differentiated thyroid carcinoma (papillary, follicular, Hürthle cell carcinoma).

Original languageEnglish
Pages (from-to)925-951
Number of pages27
JournalJournal of the National Comprehensive Cancer Network : JNCCN
Volume20
Issue number8
DOIs
StatePublished - Aug 2022

Keywords

  • Adenocarcinoma/drug therapy
  • Carcinoma, Neuroendocrine
  • Humans
  • Iodine Radioisotopes/therapeutic use
  • Iodine/therapeutic use
  • Thyroid Carcinoma, Anaplastic
  • Thyroid Neoplasms/diagnosis

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