18 F-FDG PET/CT Demonstrates Significant Response in Anaplastic Thyroid Carcinoma Treated With Combined Immunotherapy

Yamini Dharmashaktu1, Sameer Rastogi2, Ritwik Wakankar1

  • 1Department of Nuclear Medicine.

Clinical Nuclear Medicine
|February 25, 2026
PubMed

Insights

Anaplastic thyroid carcinoma (ATC) treatment with Pembrolizumab and Lenvatinib showed significant response. 18F-FDG PET/CT imaging confirmed a near complete metabolic response in this aggressive cancer case.

Area of Science:

  • Oncology
  • Nuclear Medicine
  • Radiology

Background:

  • Anaplastic thyroid carcinoma (ATC) is a rare, aggressive thyroid cancer with poor prognosis.
  • Conventional treatments offer limited efficacy for ATC.
  • Targeted therapy and immunotherapy present emerging treatment options for ATC.

Purpose of the Study:

  • To report a case of anaplastic thyroid carcinoma (ATC) treated with Pembrolizumab and Lenvatinib.
  • To evaluate the therapeutic response using 18F-FDG PET/CT imaging.

Main Methods:

  • A 51-year-old female patient with biopsy-proven ATC was treated with Pembrolizumab and Lenvatinib.
  • 18F-FDG PET/CT imaging was performed for treatment response assessment.

Main Results:

  • The patient presented with extensive locoregional disease and pulmonary metastases.
  • Post-treatment 18F-FDG PET/CT revealed a near complete metabolic response.

Conclusions:

  • Pembrolizumab and Lenvatinib demonstrate potential efficacy in managing advanced anaplastic thyroid carcinoma.
  • 18F-FDG PET/CT is a valuable imaging modality for monitoring treatment response in ATC.

Related Concept Videos