Research Article

Treatment Outcomes in Anaplastic Thyroid Cancer

Table 2

Surgical, radioactive iodine, radiotherapy, and systemic treatment characteristics.

All patients 
(N=28)

Surgery
 No8 (28.6%)
 Yes20 (71.4%)

Number of surgeries per patient
 08 (28.6%)
 114 (50.0%)
 24 (14.3%)
 42 (7.1%)

Type(s) of surgery
 Lobectomy7 (25.0%)
 Thyroidectomy12 (42.9%)
 Lymph node dissection9 (32.1%)
 Metastasectomy1 (3.6%)

Radioactive iodine
 No24 (85.7%)
 Yes, after ATC diagnosis2 (7.1%)
 Yes, before ATC diagnosis2 (7.1%)

EBRT to any site
 No7 (25.0%)
 Yes21 (75.0%)

EBRT to thyroid bed/neck
 No9 (32.1%)
 Yes19 (67.9%)

Total radiation dose (cGy)
 < 4,00011 (39.3%)
 ≥ 4,0006 (21.4%)
 Unknown4 (14.3%)

Radiation fractionation (fractions/day)
 18 (28.6%)
 > 19 (32.1%)
 Unknown4 (14.3%)

More than one EBRT treatment course
 No19 (67.9%)
 Yes9 (32.1%)

EBRT initial intent
 No EBRT7 (25.0%)
 Palliative14 (50.0%)
 Curative7 (25.0%)

EBRT initial technique
 No EBRT7 (25.0%)
 2D4 (14.3%)
 3D3 (10.7%)
 IMRT/VMAT12 (42.9%)
 Unknown2 (7.1%)

Systemic therapy
 No14 (50.0%)
 Yes14 (50.0%)

Type(s) of chemotherapy used with EBRT
 Doxorubicin4 (14.3%)
 Doxorubicin, Cisplatin2 (7.1%)
 Doxorubicin, Carboplatin, Paclitaxel1 (3.6%)
 Doxorubicin, Carboplatin, Paclitaxel, Cisplatin, Pemetrexed, Bevacizumab1 (3.6%)
 Doxorubicin, Carboplatin, Paclitaxel, Cyclophosphamide, Vinorelbine, Gemcitabine1 (3.6%)
 Carboplatin, Paclitaxel1 (3.6%)
 Sorafenib1 (3.6%)

All treatments
 Surgery + EBRT + Chemotherapy10 (35.7%)
 Surgery + EBRT5 (17.9%)
 EBRT + Chemotherapy3 (10.7%)
 EBRT only3 (10.7%)
 Surgery only5 (17.9%)
 Chemotherapy only1 (3.6%)
 No treatment1 (3.6%)

Counts and column percentages are presented unless otherwise specified.
EBRT = external beam radiation therapy; IMRT = intensity modulated radiation therapy; VMAT = volumetric modulated arc therapy.