ТАРГЕТНАЯ ТЕРАПИЯ ВЫСОКОДИФФЕРЕНЦИРОВАННОГО РАКА ЩИТОВИДНОЙ ЖЕЛЕЗЫ, РЕЗИСТЕНТНОГО К РАДИОАКТИВНОМУ ЙОДУ (ОБЗОР ЛИТЕРАТУРЫ)

Высокодифференцированный рак щитовидной железы (ВДРЩЖ) относят к неагрессивным опухолям из-за того, что он долгое время способен не увеличиваться и не метастазировать в окружающие ткани и органы. Современная медицина имеет возможность справиться с этим заболеванием, выявив его на ранних стадиях и начав своевременное лечение, которое включает операцию и последующую радиойодтерапию по показаниям. В то же время резистентность отдаленных метастазов к терапии радиоактивным йодом у больных ВДРЩЖ значительно ухудшает прогноз выживаемости. Результаты применения химиопрепаратов не позволили рекомендовать их в качестве терапии выбора. Сегодня достижения противоопухолевого лекарственного лечения связаны, главным образом, с развитием таргетной терапии, а именно с применением отдельных ингибиторов тирозинкиназ, в частности Сорафениба. Он стал первым зарегистрированным в России препаратом, доказавшим свою терапевтическую эффективность у пациентов с данной патологией, возможности лечения которых в настоящее время крайне ограничены или отсутствуют.

высокодифференцированный рак щитовидной железы, радиойодрезистентность, таргетная терапия

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