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Updated: Jun 2, 2026

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
Published on: November 28, 2025
[Management of refractory thyroid cancers]
1Service de Médecine Nucléaire et d'oncologie endocrinienne, Université Paris-Sud et Institut Gustave-Roussy, Villejuif cedex, France. schlumbg@igr.fr
Abstract:
During the last two decades, the understanding of molecular biology of thyroid cancers has greatly improved, and this has permitted the development of novel therapeutic tools in patients with refractory disease. Kinase inhibitors inhibit kinases of the VEGF receptors, and by doing this inhibit angiogenesis, and some of these agents also inhibit other kinases of the Mitogen-Activated Protein kinases (MAPkinase) pathway. These inhibitors are effective in differentiated and medullary thyroid cancers, and induce a partial response or a long-term stabilisation in more than half of patients.
Insights
Novel kinase inhibitors targeting VEGF and MAPkinase pathways show efficacy in refractory thyroid cancers. These targeted therapies provide partial responses or long-term stabilization in over half of patients with differentiated and medullary thyroid cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Significant advancements in understanding thyroid cancer molecular biology over the past two decades.
- Development of novel therapeutic strategies for refractory thyroid cancer cases.
Purpose of the Study:
- To evaluate the efficacy of kinase inhibitors in treating differentiated and medullary thyroid cancers.
- To assess the impact of these inhibitors on angiogenesis and the MAPkinase pathway.
Main Methods:
- Utilizing kinase inhibitors that target Vascular Endothelial Growth Factor (VEGF) receptors.
- Investigating agents that also inhibit the Mitogen-Activated Protein kinase (MAPK) pathway.
Main Results:
- Kinase inhibitors demonstrated effectiveness in differentiated and medullary thyroid cancers.
- Over half of the patients experienced partial response or long-term disease stabilization.
Conclusions:
- Kinase inhibitors represent a promising therapeutic option for refractory thyroid cancers.
- Targeting VEGF and MAPkinase pathways can lead to significant clinical benefits in thyroid cancer patients.
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