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Lamartina L, Godbert Y, Nascimento C, Do Cao C, Hescot S, Borget I, Al Ghuzlan A, Hartl D, Hadoux J, Pottier E, Attard M, Berdelou A, Terroir M, Baudin E, Schlumberger M, Leboulleux S. Locally unresectable differentiated thyroid cancer: outcomes and perspectives. Endocrine 2020; 69:133-141. [PMID: 32147774 DOI: 10.1007/s12020-020-02245-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 02/24/2020] [Indexed: 01/25/2023]
Abstract
PURPOSE Differentiated thyroid cancer (DTC) patients with an unresectable primary tumor cannot benefit from curative surgery, and radioiodine treatment for locoregional and distant disease is not possible with the thyroid gland still in place. Due to local invasion, these patients cannot be included in clinical trials, so that treatment options are limited. The aim of this study was to describe the characteristics and the prognosis of patients with these locally unresectable DTC. PATIENTS AND METHODS A retrospective and multicentric analysis of consecutive cases of unresectable DTC diagnosed between 2000 and 2015 was performed. RESULTS The study population consisted in 22 patients, 13 females (59%); median age: 77 years (range: 52-91). Thyroid tumors were papillary in six, follicular in seven, Hürthle cell in one and poorly differentiated in eight patients. Patients were treated with external beam radiation therapy (EBRT) (57%), locoregional therapy of distant metastases (41%), cytotoxic chemotherapy (38%) and tyrosine kinase inhibitors (TKIs) (33%). TKI treatment resulted in median disease control duration of 7 months with a grade 3-4 toxicity rate of 44%. Only one patient had a total thyroidectomy after neo-adjuvant EBRT. The 1, 3 and 5-year cumulative survival rate was 81%, 27.7% and 21.5%, respectively. The cause of death was DTC in 11 cases (local progression in 7), and to other causes in 7 cases; no patient died from treatment toxicity. CONCLUSIONS Clinical trials and approved treatments are lacking for unresectable DTC. TKI treatment may allow prolonged disease control with acceptable toxicity.
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Affiliation(s)
- L Lamartina
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France.
| | - Y Godbert
- Département de Médecine Nucléaire, Institut Bergonié, 33076, Bordeaux, France
| | - C Nascimento
- Département de Médecine Nucléaire, Hôpital René Huguenin-Institut Curie, 92210, St Cloud, France
| | - C Do Cao
- Département d'Endocrinologie, CHRU de Lille, 5900, Lille, France
| | - S Hescot
- Département de Médecine Nucléaire, Hôpital René Huguenin-Institut Curie, 92210, St Cloud, France
| | - I Borget
- Département de Biostatistique et épidémiologie, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - A Al Ghuzlan
- Département de Biologie et pathologie médicales, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - D Hartl
- Département de Chirurgie Cervico-Faciale, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - J Hadoux
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - E Pottier
- Département d'Imagerie médicale, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - M Attard
- Département d'Imagerie médicale, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - A Berdelou
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - M Terroir
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - E Baudin
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - M Schlumberger
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
| | - S Leboulleux
- Département de Médecine Nucléaire et Cancérologie Endocrinienne, Gustave Roussy, Université Paris-Saclay, F-94805, Villejuif, France
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Barat M, Tselikas L, de Baère T, Gravel G, Yevich S, Delpla A, Magand N, Louvel G, Hadoux J, Berdelou A, Terroir M, Baudin E, Schlumberger M, Leboulleux S, Deschamps F. Corrigendum to "Thermal-ablation of vertebral metastases prevents adverse events in patients with differentiated thyroid carcinoma" [Eur. J. Radiol. 119 (2019) 108650]. Eur J Radiol 2019; 121:108693. [PMID: 31594669 DOI: 10.1016/j.ejrad.2019.108693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Barat
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France.
| | - L Tselikas
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - T de Baère
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - G Gravel
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - S Yevich
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - A Delpla
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - N Magand
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - G Louvel
- Department of Radiotherapy, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
| | - J Hadoux
- Department of Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - A Berdelou
- Department of Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - M Terroir
- Department of Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - E Baudin
- Department of Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - M Schlumberger
- Department of Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - S Leboulleux
- Department of Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - F Deschamps
- Department of Interventional Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France
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Michot JM, Lappara A, Simonaggio A, Danlos FX, Belkhir R, Collins M, Berdelou A, Cauquil C, Edhery S, Le Pavec J, Eleonora D, Mateus C, Hollebecque A, Varga A, Soria JC, Massard C, Voisin AL, Marabelle A, Champiat S, Lambotte O. The ImmunoTOX multidisciplinary board: A descriptive study of collaborative management of immune-related adverse events. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz265.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Baudin E, Hadoux J, de Baere T, Berdelou A, Tselikas L, Caramella C, Terroir M, Boige V, Goere D, Faron M, Deschamps F, Burtin P, Leboulleux S, Malka D, Scoazec JY, Ducreux M. Traitement des néoplasmes neuroendocrines digestifs. ONCOLOGIE 2019. [DOI: 10.3166/onco-2019-0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Hescot S, Haissaguerre M, Pautier P, Kuhn E, Schlumberger M, Berdelou A. Immunotherapy-induced Addison's disease: A rare, persistent and potentially lethal side-effect. Eur J Cancer 2018; 97:57-58. [PMID: 29731229 DOI: 10.1016/j.ejca.2018.04.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 04/02/2018] [Indexed: 11/17/2022]
Affiliation(s)
- S Hescot
- Department of Medical Oncology, Institut Curie, Paris, France; Department of Endocrine Oncology, Gustave Roussy, Villejuif, France.
| | - M Haissaguerre
- Department of Endocrinology, CHU Bordeaux, Bordeaux, France
| | - P Pautier
- Department of Medical Oncology, Gustave Roussy, Villejuif, France
| | - E Kuhn
- Department of Endocrinology, CHU Bicêtre, Le Kremlin-Bicêtre, France
| | - M Schlumberger
- Department of Endocrine Oncology, Gustave Roussy, Villejuif, France
| | - A Berdelou
- Department of Endocrine Oncology, Gustave Roussy, Villejuif, France
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Boutros C, Routier E, Hua C, Texier M, Mateus C, Libenciuc C, Reigneau M, Benannoune N, Roy S, Lanoy E, Le Pavec J, Ladurie F, Carbonnel F, Lambotte O, Izzedine H, Berdelou A, Champiat S, Soria JC, Eggermont A, Robert C. Detailed safety profile of the anti-PD-1 monoclonal antibody pembrolizumab in 78 consecutive patients (pts) with advanced melanoma. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw379.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lamartina L, Ippolito S, Danis M, Bidault F, Borget I, Berdelou A, Al Ghuzlan A, Hartl D, Blanchard P, Terroir M, Deandreis D, Schlumberger M, Baudin E, Leboulleux S. Antiangiogenic Tyrosine Kinase Inhibitors: Occurrence and Risk Factors of Hemoptysis in Refractory Thyroid Cancer. J Clin Endocrinol Metab 2016; 101:2733-41. [PMID: 27082933 DOI: 10.1210/jc.2015-4391] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
BACKGROUND Antiangiogenic tyrosine kinase inhibitors (TKIs) are the mainstay of advanced thyroid cancer (TC) treatment. Concern is rising about TKI-related toxicity. OBJECTIVE To determine the incidence and to investigate the risk factors of hemoptysis in TC patients during TKI treatment. METHODS We analyzed consecutive TC patients treated with TKI in our center between 2005 and 2013 and performed an independent review of computed tomography scan images for airway invasion assessment. Occurrence of grade 1-2 or grade 3-5 hemoptysis according to Common Terminology Criteria for Adverse Events version 4.03 and risk factors for hemoptysis were investigated. RESULTS A total of 140 patients (89 males; median age, 52 y) with medullary (56%), differentiated (33%), and poorly differentiated (11%) TC were enrolled. Thyroidectomy±neck dissection was performed in 123 patients and neck/mediastinum external-beam radiotherapy in 41 (32% with therapeutic purpose and 68% with adjuvant purpose). Patients received from 1 to 4 lines of TKI (median 1). Median follow-up was 24 months. Airway invasion was found in 65 (46%) cases. Hemoptysis occurred in 9 patients: grade 1-2 in 7 cases (5%) and grade 3-5 in 2 (1.4%) cases (fatal in 1). Hemoptysis was associated with presence of airway invasion (P = .04), poorly differentiated pathology (P = .03), history of therapeutic external-beam radiotherapy (P = .003), and thyroidectomy without neck dissection (P = .02). CONCLUSION Airway invasion, poorly differentiated pathology, therapeutic external-beam radiotherapy, and thyroidectomy without neck dissection are associated with and increased risk of hemoptysis in TC patients during antiangiogenic TKI treatment. Further research is needed to confirm this data and to sort out interactions between these risk factors. A careful assessment of airway invasion is mandatory before TKI introduction.
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Affiliation(s)
- Livia Lamartina
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - S Ippolito
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - M Danis
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - F Bidault
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - I Borget
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - A Berdelou
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - A Al Ghuzlan
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - D Hartl
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - P Blanchard
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - M Terroir
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - D Deandreis
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - M Schlumberger
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - E Baudin
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
| | - S Leboulleux
- Departments of Nuclear Medicine and Endocrine Oncology (L.L., S.I., A.B., M.T., D.D., M.S., E.B., S.L.), Radiology (M.D., F.B.), Biostatistics and Epidemiology (I.B.), Medical Biology and Pathology (A.A.G.), Surgery (D.H.), and Department of Radiotherapy (P.B.), Gustave Roussy and University Paris Saclay, 94805 Villejuif, France
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Walter T, Planchard D, Bouledrak K, Scoazec J, Souquet P, Dussol A, Guigay J, Hervieu V, Berdelou A, Ducreux M, Arpin D, Lombard-Bohas C, Baudin E. Evaluation of the combination of oxaliplatin and 5-fluorouracil or gemcitabine in patients with sporadic metastatic pulmonary carcinoid tumors. Lung Cancer 2016; 96:68-73. [DOI: 10.1016/j.lungcan.2016.03.018] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 03/30/2016] [Accepted: 03/30/2016] [Indexed: 11/15/2022]
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Champiat S, Lambotte O, Barreau E, Belkhir R, Berdelou A, Carbonnel F, Cauquil C, Chanson P, Collins M, Durrbach A, Ederhy S, Feuillet S, François H, Lazarovici J, Le Pavec J, De Martin E, Mateus C, Michot JM, Samuel D, Soria JC, Robert C, Eggermont A, Marabelle A. Management of immune checkpoint blockade dysimmune toxicities: a collaborative position paper. Ann Oncol 2015; 27:559-74. [PMID: 26715621 DOI: 10.1093/annonc/mdv623] [Citation(s) in RCA: 600] [Impact Index Per Article: 66.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Accepted: 12/18/2015] [Indexed: 12/13/2022] Open
Abstract
Monoclonal antibodies targeted against the immune checkpoint molecules CTLA-4 and PD-1 have recently obtained approval for the treatment of metastatic melanoma and advanced/refractory non small-cell lung cancers. Therefore, their use will not be limited anymore to selected hospitals involved in clinical trials. Indeed, they will be routinely prescribed in many cancer centers across the world. Besides their efficacy profile, these immune targeted agents also generate immune-related adverse events (irAEs). This new family of dysimmune toxicities remains largely unknown to the broad oncology community. Although severe irAEs remain rare (∼10% of cases under monotherapy), they can become life-threatening if not anticipated and managed appropriately. Over the last 5 years, Gustave Roussy has accumulated a significant experience in the prescription of immune checkpoint blockade (ICB) antibodies and the management of their toxicities. Together with the collaboration of Gustave Roussy's network of organ specialists with expertise in irAEs, we propose here some practical guidelines for the oncologist to help in the clinical care of patients under ICB immunotherapy.
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Affiliation(s)
- S Champiat
- Department of Drug Development (DITEP), Gustave Roussy Inserm U981, Univ. Paris-Sud, Université Paris-Saclay, Villejuif
| | - O Lambotte
- Department of Internal Medicine and Clinical Immunology, Assistance Publique-Hôpitaux de Paris, Hôpital Universitaire Bicêtre, Le Kremlin Bicêtre Université Paris Sud 11, Le Kremlin-Bicêtre CEA, DSV/iMETI, Division of Immuno-Virology, IDMIT, Fontenay-aux-Roses INSERM, U1184, Center for Immunology of Viral Infections and Autoimmune Diseases, Le Kremlin-Bicêtre
| | - E Barreau
- Department of Ophthalmology, Hôpital Universitaire Bicêtre, Le Kremlin Bicêtre
| | - R Belkhir
- Department of Rheumatology, Hôpitaux Universitaires Paris-Sud, Hôpital Bicêtre, AP-HP, Le Kremlin Bicêtre
| | - A Berdelou
- Department of Nuclear Medicine and Endocrine Tumors, Gustave Roussy, Univ. Paris-Sud, Université Paris-Saclay, Villejuif
| | - F Carbonnel
- Gastroenterology Unit, Université Paris-Sud, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Sud, Le Kremlin Bicêtre
| | - C Cauquil
- Division of Adult Neurology, Hôpital Universitaire Bicêtre, Le Kremlin Bicêtre
| | - P Chanson
- Faculty of Medicine, Université Paris-Saclay, Univ Paris-Sud, Paris-Sud, UMR-S1185, Le Kremlin Bicêtre Unit of Endocrinology and reproductive Health, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Hôpital de Bicêtre, Le Kremlin Bicêtre Unit of Gastroenterology, Institut National de la Santé et de la Recherche Médicale U1185 (P.C.), Le Kremlin Bicêtre
| | - M Collins
- Gastroenterology Unit, Université Paris-Sud, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Sud, Le Kremlin Bicêtre
| | - A Durrbach
- Department of Nephrology and Transplantation, Bicêtre Hospital, Paris Saclay University, INSERM 1197, Le Kremlin Bicêtre
| | - S Ederhy
- Department of Cardiology, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Pierre et Marie Curie University [UPMC], Paris-Sorbonne, Paris
| | - S Feuillet
- Department of Thoracic and cardiovascular, and transplantation cardio-pulmonary, Hôpital Marie-Lannelongue, Le Plessis-Robinson Univ. Paris-Sud, Faculté de Médecine, Université Paris-Saclay, Le Kremlin Bicêtre
| | - H François
- Department of Nephrology and Transplantation, Bicêtre Hospital, Paris Saclay University, INSERM 1197, Le Kremlin Bicêtre
| | - J Lazarovici
- Hematology Unit, Department of Medical Oncology, Gustave Roussy, Univ. Paris-Sud, Université Paris-Saclay, Villejuif
| | - J Le Pavec
- Department of Thoracic and cardiovascular, and transplantation cardio-pulmonary, Hôpital Marie-Lannelongue, Le Plessis-Robinson Univ. Paris-Sud, Faculté de Médecine, Université Paris-Saclay, Le Kremlin Bicêtre UMR_S 999, Univ. Paris-Sud; INSERM; Hôpital Marie Lannelongue, Le Plessis Robinson
| | - E De Martin
- Centre Hépato-Biliaire, AP-HP, Hôpital Universitaire Paul Brousse Inserm U1193
| | - C Mateus
- Dermatology Unit, Department of Medical Oncology, Gustave Roussy, Univ. Paris-Sud, Université Paris-Saclay, Villejuif
| | - J-M Michot
- Department of Drug Development (DITEP), Gustave Roussy
| | - D Samuel
- Centre Hépato-Biliaire, AP-HP, Hôpital Universitaire Paul Brousse Inserm U1193
| | - J-C Soria
- Department of Drug Development (DITEP), Gustave Roussy Inserm U981, Univ. Paris-Sud, Université Paris-Saclay, Villejuif
| | - C Robert
- Inserm U981, Univ. Paris-Sud, Université Paris-Saclay, Villejuif Dermatology Unit, Department of Medical Oncology, Gustave Roussy, Univ. Paris-Sud, Université Paris-Saclay, Villejuif
| | | | - A Marabelle
- Department of Drug Development (DITEP), Gustave Roussy Gustave Roussy Cancer Campus, Villejuif Inserm 1015, Univ. Paris-Sud, Université Paris-Saclay, Villejuif, France
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Sullivan I, Baudin E, Guigay J, Scoazec J, Leboulleux S, Berdelou A, Ducreux M, Malka D, Caramella C, Besse B, Planchard D. 3076 Tumor control of advanced pulmonary carcinoid tumors with somatostatin analogs: Experience at Gustave Roussy. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31717-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Hadoux J, Malka D, Planchard D, Scoazec JY, Caramella C, Guigay J, Boige V, Leboulleux S, Burtin P, Berdelou A, Loriot Y, Duvillard P, Chougnet CN, Déandréis D, Schlumberger M, Borget I, Ducreux M, Baudin E. Post-first-line FOLFOX chemotherapy for grade 3 neuroendocrine carcinoma. Endocr Relat Cancer 2015; 22:289-98. [PMID: 25770151 DOI: 10.1530/erc-15-0075] [Citation(s) in RCA: 99] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/11/2015] [Indexed: 12/13/2022]
Abstract
There is no standard for second-line chemotherapy in poorly differentiated grade 3 neuroendocrine carcinoma (G3-NEC) patients. We analyzed the antitumor efficacy of 5-fluorouracil and oxaliplatin (FOLFOX) chemotherapy in this population. A single-center retrospective analysis of consecutive G3-NEC patients treated with FOLFOX chemotherapy after failure of a cisplatinum-based regimen between December 2003 and June 2012 was performed. Progression-free survival (PFS), overall survival (OS), response rate, and safety were assessed according to RECIST 1.1 and NCI.CTC v4 criteria. Twenty consecutive patients were included (seven males and 13 females; median age 55; range 23-87 years) with a performance status of 0-1 in 75% of them. Primary location was gastroenteropancreatic in 12, thoracic in four, other in two, and unknown in two patients. There were 12 (65%) large-cell and 7 (30%) small-cell G3-NEC tumors, and 1 (5%) unknown. All patients had distant metastases. Twelve (60%) patients received FOLFOX as second-line treatment and 8 (40%) as third-line treatment or later and the median number of administered cycles was 6 (range 3-14). The median follow-up was 19 months. Median PFS was 4.5 months. Among the 17 evaluable patients, five partial responses (29%), six stable diseases (35%), and six progressive diseases (35%) were observed. Median OS was 9.9 months. Main Grade 3-4 toxicities were neutropenia (35%), thrombopenia (20%), nausea/vomiting (10%), anemia (10%), and elevated liver transaminases (10%). Our results indicate that the FOLFOX regimen could be considered as a second-line option in poorly differentiated G3-NEC patients after cisplatinum-based first-line treatment but warrant further confirmation in future larger prospective studies.
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Affiliation(s)
- J Hadoux
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - D Malka
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - D Planchard
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - J Y Scoazec
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - C Caramella
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - J Guigay
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - V Boige
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - S Leboulleux
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - P Burtin
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - A Berdelou
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - Y Loriot
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - P Duvillard
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - C N Chougnet
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - D Déandréis
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - M Schlumberger
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - I Borget
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - M Ducreux
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
| | - E Baudin
- Departments of Nuclear Medicine and Endocrine TumorsDigestive OncologyMedical Oncology (Thoracic Group)PathologyRadiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceCentre Antoine LacassagneCLCC, 33, Avenue de Valombrose, F-06189 Nice, FranceDepartment of Urologic OncologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceDepartment of EndocrinologyHôpital Saint Louis - APHP, 1, Avenue Claude-Vellefaux, F-75010 Paris, FranceDepartment of Biostatistics and EpidemiologyGustave Roussy, 114 Rue Edouard Vaillant, F-94800 Villejuif Cedex, FranceFaculté de MédecineParis-Sud University, F-94270 Le Kremlin Bicêtre, France
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Baudin E, Habra MA, Deschamps F, Cote G, Dumont F, Cabanillas M, Arfi-Roufe J, Berdelou A, Moon B, Al Ghuzlan A, Patel S, Leboulleux S, Jimenez C. Therapy of endocrine disease: treatment of malignant pheochromocytoma and paraganglioma. Eur J Endocrinol 2014; 171:R111-22. [PMID: 24891137 DOI: 10.1530/eje-14-0113] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Metastatic pheochromocytomas and paragangliomas (MPPs) present clinicians with three major challenges: scarcity, complexity of characterization, and heterogeneous behavior and prognosis. As with the treatment for all neuroendocrine tumors, the control of hormonal symptoms and tumor growth is the main therapeutic objective in MPP patients. A significant number of MPP patients still die from uncontrolled hormone secretion. In addition, the management of MPPs remains palliative. Steps forward include proper characterization of MPP patients at large cancer referral centers with multidisciplinary teams; improved strategies to stratify patients prognostically; and implementation of trials within national and international networks. Progress in the molecular characterization and staging of MPPs constitutes the basis for significant treatment breakthroughs.
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Affiliation(s)
- Eric Baudin
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Mouhammed Amir Habra
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Frederic Deschamps
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Gilbert Cote
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Frederic Dumont
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Maria Cabanillas
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - J Arfi-Roufe
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - A Berdelou
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Bryan Moon
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Abir Al Ghuzlan
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Shreyaskumar Patel
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Sophie Leboulleux
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
| | - Camilo Jimenez
- Département de Médecine Nucléaire et de Cancérologie EndocrinienneRadiologie Interventionnelle, Chirurgie, Imagerie, Institut Gustave Roussy, Université Paris Sud, 114 Rue Edouard Vaillant 94805 villejuif Cedex, Paris, France andDepartment of Endocrine Neoplasia and Hormone DisordersUnit 1461, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, Texas 77030, USA
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Gnemmi V, Berdelou A, Pigny P, D’herbomez M, Carnaille B, Wemeau JL, Do Cao C, Pattou F, Leteurtre E, Aubert S. Étude de corrélation entre les caractéristiques de la tumeur primitive, le statut ganglionnaire lymphatique et l’évolution chez les patients présentant un carcinome médullaire thyroïdien sporadique palpable. Ann Pathol 2011. [DOI: 10.1016/j.annpat.2011.09.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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