![肿瘤药物治疗方案及综合评价](https://wfqqreader-1252317822.image.myqcloud.com/cover/13/43604013/b_43604013.jpg)
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第二节 甲状腺癌
方案Ⅰ 索拉非尼
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T28_290_1071_2030_1305_77314.jpg?sign=1738964593-BSIv8Y5eShqcTdUI4IfRzgpEJCPBLRtd-0-08d4d6d752e102a6901b8099d60370d7)
方案评价
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T28_280_1393_2035_2802_147301.jpg?sign=1738964593-gnd79mpZqBd1uTBE2onkBElNxeX5ARrV-0-d876ad8a0abbac05b6ce01a99104fab9)
续表
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T29_228_339_1993_2315_147302.jpg?sign=1738964593-30fJmU6XgGyXoOlvYDFK6XycYtLCYmku-0-d6f02286f23594f2ba4610f018286da2)
点评
索拉非尼为局部晚期、转移性放射性碘难治性分化型甲状腺癌的优选方案,证据来源于Ⅲ期多中心随机对照研究,适用于>18岁、ECOG PS评分0~2分、具有可测量病灶(CT或MRI)、促甲状腺素<0.5mIU/L、在14个月内疾病进展的患者。
(吴 昕 张琼文)
参考文献
[1] BROSE MS,NUTTING CM,JARZAB B,et al.Sorafenib in radioactive iodine-refractory,locally advanced or metastatic differentiated thyroid cancer:a randomized,double-blind,phase 3 trial.Lancet,2014,384(9940):319-328.