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Chen Wang Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China
Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, China

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Xin Zhang Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China
Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, China

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Xue Yang Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China

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Hui Li Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China
Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, China

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Ruixue Cui Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China
Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, China

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Wenmin Guan Department of Radiology, Peking Union Medical College Hospital, Beijing, China

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Xin Li Department of Nuclear Medicine, Zhejiang Cancer Hospital, Hangzhou, China

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Zhaohui Zhu Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China
Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, China

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Yansong Lin Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing, China
Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Beijing, China

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dedifferentiation of thyroid cancer ( Xing 2007 ). Similarly, patients harbouring both BRAF V600E and TERT mutation were refractory to radioactive iodine, which may result in unfavourable prognosis ( Yang et al . 2017 ). Previous studies have reported the

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Marcia S Brose Department of Otorhinolaryngology: Head and Neck Surgery, Abramson Cancer Center of the University of Pennsylvania, Stellar-Chance Laboratories Mezzanine, Philadelphia, Pennsylvania, USA

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Johannes Smit Department of Internal Medicine, Radboud University Nijmegen Medical Center, 463 General Internal Medicine, Nijmegen, Netherlands

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Chia-Chi Lin Department of Oncology, National Taiwan University Hospital, Taipei, Taiwan

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Fabian Pitoia Division of Endocrinology, Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina

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Marc Fellous Bayer HealthCare Pharmaceuticals, Whippany, New Jersey, USA

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Yoriko DeSanctis Bayer HealthCare Pharmaceuticals, Whippany, New Jersey, USA

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Martin Schlumberger Department of Nuclear Medicine and Endocrine Oncology, Institut Gustave Roussy and Université Paris Saclay, Villejuif, France

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Masayuki Tori Department of Endocrine Surgery, Osaka Police Hospital, Tennoujiku, Osaka, Japan

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Iwao Sugitani Department of Endocrine Surgery, Nippon Medical School Graduate School of Medicine, Bunkyo-Ku, Tokyo, Japan

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-term outcome data, is needed to guide treatment decisions ( Carhill et al. 2015 ). Radioactive Iodine reFractory Asymptomatic Patients in Differentiated Thyroid Cancer – an Observational Study to Assess the Use of Multikinase Inhibitors (RIFTOS MKI) is a

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Jennifer A Woyach Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, The Ohio State University, A438 Starling-Loving Hall, 320 West 10th Avenue, Columbus, Ohio 43210, USA

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Manisha H Shah Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, The Ohio State University, A438 Starling-Loving Hall, 320 West 10th Avenue, Columbus, Ohio 43210, USA
Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, The Ohio State University, A438 Starling-Loving Hall, 320 West 10th Avenue, Columbus, Ohio 43210, USA

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and increase the uptake of radioactive iodine into thyroid cancer cells ( Marsee et al . 2004 ). It has also been shown that levels of Hsp 90, rather than histologic subtype, determine the cytotoxic response to the agent in thyroid cancer cell lines

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Marie-Claude Hofmann Department of Endocrine Neoplasia and Hormonal Disorders, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Muthusamy Kunnimalaiyaan Department of Endocrine Neoplasia and Hormonal Disorders, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Jennifer R Wang Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Naifa L Busaidy Department of Endocrine Neoplasia and Hormonal Disorders, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Steven I Sherman Department of Endocrine Neoplasia and Hormonal Disorders, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Stephen Y Lai Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Mark Zafereo Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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Maria E Cabanillas Department of Endocrine Neoplasia and Hormonal Disorders, University of Texas MD Anderson Cancer Center, Houston, Texas, USA

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with BRAF(V600E)-positive metastatic or unresectable papillary thyroid cancer refractory to radioactive iodine: a non-randomised, multicentre, open-label, phase 2 trial . Lancet: Oncology 17 1272 – 1282 . ( https://doi.org/10.1016/S1470

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Sarah E Mayson Division of Endocrinology, Metabolism and Diabetes, University of Colorado School of Medicine, Aurora, Colorado, USA

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Christine M Chan Section of Endocrinology, Department of Pediatrics, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA

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Bryan R Haugen Division of Endocrinology, Metabolism and Diabetes, University of Colorado School of Medicine, Aurora, Colorado, USA
University of Colorado Cancer Center, Aurora, Colorado, USA

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calculation. Radioactive iodine refractory disease The ATA defines RAI-refractory DTC in patients with structural evident disease after appropriate iodine preparation and TSH stimulation in one of four ways: (1) no uptake outside the thyroid bed at the

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Jaume Capdevila
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Lara Iglesias Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Irene Halperin Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Ángel Segura Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Javier Martínez-Trufero Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Maria Ángeles Vaz Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Jesús Corral Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Gabriel Obiols Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Enrique Grande Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Juan Jose Grau Medical Oncology Department, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Medical Oncology Department, Hospital Universitario Ramón y Cajal, Medical Oncology Department, Endocrinology Department, Medical Oncology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, P. Vall d'Hebron 119-129, 08035 Barcelona, Spain

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Josep Tabernero
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(3) Arthromyalgia 1 (3) Elevated transaminases 1 (3) 1 (3) Discussion Until recently, medical management of advanced thyroid cancer refractory to standard treatments has been particularly challenging. Classical DNA-damaging drugs have demonstrated

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Mehtap Derya Aydemirli Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
Department of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands

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Jaap D H van Eendenburg Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands

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Tom van Wezel Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands

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Jan Oosting Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands

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Willem E Corver Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands

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Ellen Kapiteijn Department of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands

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Hans Morreau Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands

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M Janakiraman M Solit D Knauf JA Tuttle RM 2009 Mutational profile of advanced primary and metastatic radioactive iodine-refractory thyroid cancers reveals distinct pathogenetic roles for BRAF, PIK3CA, and AKT1 . Cancer Research 69

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Thomas A Werner Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Inga Nolten Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Levent Dizdar Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Jasmin C Riemer Institute of Pathology, Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Sina C Schütte Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Pablo E Verde Coordination Centre for Clinical Trials, Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Katharina Raba Institute for Transplantation Diagnostics and Cell Therapeutics, Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Matthias Schott Division of Endocrinology, Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Wolfram T Knoefel Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Andreas Krieg Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany

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Jarzab B Elisei R Siena S Bastholt L la Fouchardiere de C Pacini F Paschke R Shong YK , 2014 Sorafenib in radioactive iodine-refractory, locally advanced or metastatic differentiated thyroid cancer: a randomised, double-blind, phase 3 trial. Lancet

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Fabián Pitoia
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RECIST1 and serum thyroglobulin measurements in the evaluation of responses to sorafenib in patients with radioactive iodine-refractory differentiated thyroid carcinoma . Oncology Letters 6 480 – 486 . ( doi:10.3892/ol.2013.1424 ). Shen CT Qiu Z

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Fernanda Vaisman
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Denise P Carvalho Endocrinology Service, Laboratório de Fosiologia Endócrina Doris Rosental, Endocrinology Service, National Cancer Institute, Brazil Praça da Cruz Vermelha, 23, 8° Floor, Centro, Rio de Janeiro, Rio de Janeiro, 20230-130, Brazil

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Mario Vaisman Endocrinology Service, Laboratório de Fosiologia Endócrina Doris Rosental, Endocrinology Service, National Cancer Institute, Brazil Praça da Cruz Vermelha, 23, 8° Floor, Centro, Rio de Janeiro, Rio de Janeiro, 20230-130, Brazil

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.21520 ). Anderson RT Linnehan JE Tongbram V Keating K Wirth LJ 2013 Clinical, safety, and economic evidence in radioactive iodine-refractory differentiated thyroid cancer: a systematic literature review . Thyroid 23 392 – 407 . ( doi

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