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Updated: Oct 16, 2025

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Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
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Diffuse goitre enlargement after immunotherapy for non-small cell lung cancer
Kohei Fujita1, Norio Araki2, Tadashi Mio1
1Division of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto Japan.
Respirology Case Reports
|October 20, 2021
Summary
Hyperprogressive disease (HPD) can occur during immune checkpoint inhibitor therapy. This case highlights HPD in metastatic thyroid cancer, emphasizing the need for clinical vigilance due to its potentially life-threatening nature.
Area of Science:
- Oncology
- Immunotherapy
- Cancer Research
Background:
- Immune checkpoint inhibitors (ICIs) are a cornerstone of cancer therapy.
- Hyperprogressive disease (HPD) is a recognized, albeit rare, adverse event associated with ICI treatment.
- The occurrence of HPD in thyroid cancer during immunotherapy requires further investigation.
Purpose of the Study:
- To report a rare case of hyperprogressive disease (HPD) in a patient with metastatic thyroid cancer receiving immunotherapy.
- To underscore the clinical significance and potential life-threatening implications of HPD in this specific cancer type.
- To raise awareness among clinicians regarding HPD during ICI therapy for thyroid malignancies.
Main Methods:
- Case report detailing a patient with metastatic thyroid cancer undergoing immunotherapy.
- Clinical observation and documentation of disease progression.
- Review of relevant literature on hyperprogressive disease and thyroid cancer immunotherapy.
Main Results:
- The patient developed hyperprogressive disease (HPD) during treatment with immune checkpoint inhibitors.
- The observed HPD in metastatic thyroid cancer presented a significant clinical challenge.
- The rapid progression of the tumor highlighted the potential severity of HPD.
Conclusions:
- Hyperprogressive disease (HPD) is a critical consideration in patients with metastatic thyroid cancer receiving immunotherapy.
- Clinicians must maintain a high index of suspicion for HPD and monitor patients closely.
- Early recognition and management strategies for HPD are crucial for patient outcomes in thyroid cancer immunotherapy.
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