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Journal Articles European Thyroid Journal Year : 2021

Cardiac Metastasis from Medullary Thyroid Cancers with Long-Term Survival under Vandetanib

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Abstract

Background: Cardiac metastases from thyroid cancers are uncommon with a poor prognosis. There is a lack of long-term follow-up studies. Cases: We report 2 cases of cardiac metastasis from medullary thyroid cancer (MTC). Both patients presented limited metastatic disease apart from a cardiac metastasis. The initial diagnosis was challenging and was facilitated by functional imaging with an immuno-PET-CT using an anti-CEA bispecific antibody and a 68Ga-labeled peptide. Both patients were treated with the multitarget kinase inhibitor vandetanib with prolonged stability. The first patient was alive at the last follow-up, 14 years after the diagnosis of cardiac metastasis. The second patient required surgical excision of the cardiac mass because of disease progression under vandetanib. Conclusion: These cases illustrate long-term survival and effectiveness of clinical management of 2 patients who developed cardiac metastases from MTC, in the current era of personalized medicine with targeted therapy.
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Dates and versions

inserm-03547147 , version 1 (28-01-2022)

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Camille Buffet, Sophie Leboulleux, Françoise Kraeber-Bodéré, Caroline Bodet-Milin, Laure Cabanes, et al.. Cardiac Metastasis from Medullary Thyroid Cancers with Long-Term Survival under Vandetanib. European Thyroid Journal , 2021, 10 (6), pp.517-522. ⟨10.1159/000517716⟩. ⟨inserm-03547147⟩
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