Review Article

Neoadjuvant Therapy in Differentiated Thyroid Cancer

Table 1

Select studies of chemotherapy in metastatic differentiated thyroid cancer.

Author and yearSample sizeInterventionResponse

Gottlieb et al., 1972 [5] 6 with DTC.Various single and combination agents, including doxorubicin.33.3% PR.
Gottlieb and Hill, 1974 [6]15 with DTC.Doxorubicin at 45, 60, or 75 mg/m2 IV.33.3% PR.
Matuszczyk et al., 2008 [7]22 with DTC.Doxorubicin at 15 mg/m2 IV weekly or 60 mg/m2 IV every 3 weeks.5% PR, 42% SD, 53% PD.
Williams et al., 1986 [8] 22 with advanced thyroid cancer of all histological subtypes.Doxorubicin 60 mg/m2 plus cisplatin 60 mg/m2.9.1% PR.
Shimaoka  et al., 1985 [9] 35 with DTC.Doxorubicin 60 mg/m2 with cisplatin 40 mg/m2 or doxorubicin alone.16% and 31% ORR for combination and monotherapy, respectively.
Matuszczyk et al., 2010 [10] 7 with DTC.Paclitaxel 90–100 mg/m2 and gemcitabine 1000 mg/m2.No responses observed.

Definitions: DTC: differentiated thyroid cancer, MTC: medullary thyroid cancer, ORR: overall response rate, PD: progressive disease, PR: partial response, and SD: stable disease.
Results for both doses (15 mg/m2 IV weekly or 60 mg/m2 IV every 3 weeks).