Response to Sunitinib in Medullary Thyroid Cancer
- Fergal C. Kelleher, MB, MSc; and
- Raymond McDermott, MD, PhD
- From Adelaide and Meath Hospital, Dublin 24, Ireland.
Background: Medullary thyroid cancer (MTC) is the most aggressive form of well-differentiated thyroid cancer. Of all known cases, 80% are sporadic. Sporadic cases tend to present with advanced disease. In advanced disease, systemic chemotherapy is associated with low response rates of short duration. The rearranged in transformation (RET) proto-oncogene has a high frequency of aberrant expression in MTC, and trials of agents directed against this target are ongoing. In preclinical work, Kim and colleagues (1) have shown that sunitinib is a potent inhibitor of the RET/papillary thyroid cancer (PTC) kinase, and iatrogenic hypothyroidism is increasingly recognized in patients treated with this agent (2, 3).
Objective: To describe a case of …
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