Research Article

Short Course High Dose Radiotherapy in the Treatment of Anaplastic Thyroid Carcinoma

Table 5

Major radiation series comparing outcomes of anaplastic thyroid carcinoma.

AuthorIntentMedian radiation doseResectionFractionationLocal controlChemotherapyRadiation durationMedian survival

Wang et al. [13]Definitive 60 Gy (45–66)61%Once daily or bid94% (6 months)No4–6 weeks11.1 months
Palliative40 Gy (split course)50%Once daily65% (6 months)16% (prior to or during)4–6 weeks3.2 months

de Crevoisier et al. [14]Definitive40 Gy (later boost to 50–55 Gy)71%Bid68% (45 median FU)Prior to and after3-4 weeks10 months (both arms)
Palliative40 Gy (later boost to 50–55 Gy)50%Bid68% (45 median FU)Prior to and after3-4 weeks

Dumke et al. [15]Both50 Gy (6–60.4)80%Daily or bidUnknown15%Unknown5 months; if >50 Gy
10.5 months

Stavas et al.Definitive54 Gy (49.5–62.5)89%Daily89% (at time of death)88% (concurrent)23.5 days (13–36)14.2 months
Palliative54 Gy (40–57)75%Daily75% (at time of death)26 days (22–37)6.4 months