Endocrine oncology

Surgical Outcomes Following Neoadjuvant‐Targeted Therapy for Advanced Differentiated Thyroid Cancer—Real‐World Data

Clin Endocrinol (Oxf)Published Retrospective cohort study

Authors' conclusion

Neoadjuvant TKIs may improve the surgical outcomes of patients with advanced DTC. Decision-guided radiological and blood-based surrogate biomarkers, such as TSH, can assist in evaluating treatment response and guide decisions regarding treatment duration and extent of surgical resection.

Study context

Population
Patients with advanced or unresectable differentiated thyroid carcinoma (DTC) treated with neoadjuvant TKIs followed by curative-intent surgery, 2023–2025
Participants
9 patients
Exposure
Neoadjuvant TKIs followed by curative-intent surgery
  • Lenvatinibn = 7
  • Dabrafenib/trametinibn = 2
Outcome
Radiological response and surgical outcome

Main finding

As reported in the abstract

Median reduction in tumour burden

23.53%

Median duration of TKI therapy

5 months

Observational data: associations, not effects.

Further findings

Elevated TSH during neoadjuvant therapy and treatment response

Elevated TSH correlated with positive treatment response
P = 0.028

Original publication

Surgical Outcomes Following Neoadjuvant‐Targeted Therapy for Advanced Differentiated Thyroid Cancer—Real‐World Data. Clin Endocrinol (Oxf). Published 5 November 2025. doi:10.1111/cen.70054

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