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Charged particle radiotherapy for thyroid cancer. A systematic review.

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Critical reviews in oncology/hematology 📖 저널 OA 5.6% 2022: 0/3 OA 2023: 0/2 OA 2024: 0/4 OA 2025: 0/56 OA 2026: 17/236 OA 2022~2026 2024 Vol.202() p. 104463
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Ciccone LP, Franzetti J, Bonora M, Ronchi S, Camarda AM, Charalampopoulou A, Facoetti A, Bazani A, Magro G, Vischioni B, Locati LD, Licitra L, Sauerwein WAG, Orlandi E

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The role of external beam radiotherapy (EBRT) in thyroid cancer (TC) remains contentious due to limited data.

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APA Ciccone LP, Franzetti J, et al. (2024). Charged particle radiotherapy for thyroid cancer. A systematic review.. Critical reviews in oncology/hematology, 202, 104463. https://doi.org/10.1016/j.critrevonc.2024.104463
MLA Ciccone LP, et al.. "Charged particle radiotherapy for thyroid cancer. A systematic review.." Critical reviews in oncology/hematology, vol. 202, 2024, pp. 104463.
PMID 39098367 ↗

Abstract

The role of external beam radiotherapy (EBRT) in thyroid cancer (TC) remains contentious due to limited data. Retrospective studies suggest adjuvant EBRT benefits high-risk differentiated thyroid cancer (DTC) and limited-stage anaplastic thyroid carcinoma (ATC), enhancing locoregional control and progression-free survival when combined with surgery and chemotherapy. Intensity-modulated radiotherapy (IMRT) and particle therapy (PT), including protons, carbon ions, and Boron Neutron Capture Therapy (BNCT), represent advances in TC treatment. Following PRISMA guidelines, we reviewed 471 studies from January 2002 to January 2024, selecting 14 articles (10 preclinical, 4 clinical). Preclinical research focused on BNCT in ATC mouse models, showing promising local control rates. Clinical studies explored proton, neutron, or photon radiotherapy, reporting favorable outcomes and manageable toxicity. While PT shows promise supported by biological rationale, further research is necessary to clarify its role and potential combination with systemic treatments in TC management.

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