- 肿瘤药物治疗方案及综合评价
- 李秋 张晓实主编
- 166字
- 2022-04-21 16:38:11
第二节 甲状腺癌
方案Ⅰ 索拉非尼
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T28_290_1071_2030_1305_77314.jpg?sign=1739512926-AOlF10l9uwdZzOeCgGzOi48Dr3rQzlbz-0-c017077fda97fd1fbbae1091448c5cbb)
方案评价
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T28_280_1393_2035_2802_147301.jpg?sign=1739512926-5fk47Ps6GzbimBNef2m1uJZea75M4ZST-0-93be02d261e35d0a9d89cf5084e40987)
续表
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T29_228_339_1993_2315_147302.jpg?sign=1739512926-IsH0qfJDDmOBY1auxDdTmpUxIiHOpVTK-0-c31273a270738d5e2bc754ac7a8b5af8)
点评
索拉非尼为局部晚期、转移性放射性碘难治性分化型甲状腺癌的优选方案,证据来源于Ⅲ期多中心随机对照研究,适用于>18岁、ECOG PS评分0~2分、具有可测量病灶(CT或MRI)、促甲状腺素<0.5mIU/L、在14个月内疾病进展的患者。
(吴 昕 张琼文)
参考文献
[1] BROSE MS,NUTTING CM,JARZAB B,et al.Sorafenib in radioactive iodine-refractory,locally advanced or metastatic differentiated thyroid cancer:a randomized,double-blind,phase 3 trial.Lancet,2014,384(9940):319-328.