Thyroid Carcinoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology

Authors:
Robert I Haddad Dana-Farber/Brigham and Women’s Cancer Center;

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Lindsay Bischoff Vanderbilt-Ingram Cancer Center;

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Douglas Ball The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins;

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Victor Bernet Mayo Clinic Cancer Center;

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Erik Blomain Stanford Cancer Institute;

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Naifa Lamki Busaidy The University of Texas MD Anderson Cancer Center;

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Michael Campbell UC Davis Comprehensive Cancer Center;

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Paxton Dickson St. Jude Children’s Research Hospital/The University of Tennessee Health Science Center;

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Quan-Yang Duh UCSF Helen Diller Family Comprehensive Cancer Center;

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Hormoz Ehya Fox Chase Cancer Center;

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Whitney S. Goldner Fred & Pamela Buffett Cancer Center;

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Theresa Guo UC San Diego Moores Cancer Center;

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Megan Haymart University of Michigan Rogel Cancer Center;

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Shelby Holt UT Southwestern Simmons Comprehensive Cancer Center;

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Jason P. Hunt Huntsman Cancer Institute at the University of Utah;

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Andrei Iagaru Stanford Cancer Institute;

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Fouad Kandeel City of Hope National Medical Center;

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Dominick M. Lamonica Roswell Park Comprehensive Cancer Center;

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Susan Mandel Abramson Cancer Center at the University of Pennsylvania;

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Stephanie Markovina Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine;

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Bryan McIver Moffitt Cancer Center;

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Christopher D. Raeburn University of Colorado Cancer Center;

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Rod Rezaee Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute;

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John A. Ridge Fox Chase Cancer Center;

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Mara Y. Roth Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance;

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Randall P. Scheri Duke Cancer Institute;

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Jatin P. Shah Memorial Sloan Kettering Cancer Center;

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Jennifer A. Sipos The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute;

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Rebecca Sippel University of Wisconsin Carbone Cancer Center;

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Cord Sturgeon Robert H. Lurie Comprehensive Cancer Center of Northwestern University;

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Thomas N. Wang O’Neal Comprehensive Cancer Center at UAB;

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Lori J. Wirth Massachusetts General Hospital Cancer Center;

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Richard J. Wong Memorial Sloan Kettering Cancer Center;

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Michael Yeh UCLA Jonsson Comprehensive Cancer Center; and

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Carly J. Cassara National Comprehensive Cancer Network.

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Susan Darlow National Comprehensive Cancer Network.

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Differentiated thyroid carcinomas is associated with an excellent prognosis. The treatment of choice for differentiated thyroid carcinoma is surgery, followed by radioactive iodine ablation (iodine-131) in select patients and thyroxine therapy in most patients. Surgery is also the main treatment for medullary thyroid carcinoma, and kinase inhibitors may be appropriate for select patients with recurrent or persistent disease that is not resectable. Anaplastic thyroid carcinoma is almost uniformly lethal, and iodine-131 imaging and radioactive iodine cannot be used. When systemic therapy is indicated, targeted therapy options are preferred. This article describes NCCN recommendations regarding management of medullary thyroid carcinoma and anaplastic thyroid carcinoma, and surgical management of differentiated thyroid carcinoma (papillary, follicular, Hürthle cell carcinoma).

Individual Disclosures for the NCCN Thyroid Carcinoma Panel
Individual Disclosures for the NCCN Thyroid Carcinoma Panel

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