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46th Annual Meeting of the European Thyroid Association (ETA) 2024

Poster Presentations

Anaplastic thyroid cancer

ea0101ps1-02-01 | Anaplastic thyroid cancer | ETA2024

Estrogen-related receptor gamma (ERRγ) as a therapeutic target for anaplastic thyroid cancer and the synergistic killing effect of DN200434 (ERRγ inverse-agonist) and MK2206 (AKT inhibitor) in thyroid cancers

Gulwani Deepak , Singh Thoudam

Objective: The first orphan nuclear receptors discovered were Estrogen Related Receptors (ERRs), which were recognized due to their sequence closeness to the classical estrogen receptors. Countless impartial studies have linked ERRγ to the onset and progression of several malignancies, including thyroid cancer. Moreover, it is recognized that ERRγ has a unique function in controlling metabolic effectors, cell cycle progression, and apoptosis in cancers of different k...

ea0101ps1-02-02 | Anaplastic thyroid cancer | ETA2024

Thyroid fibrosarcoma as a rare differential diagnosis of anaplastic thyroid cancer: a case report

Chamnanvej Phichaya , Phruttinarakorn Bantita , Topibulpong Nuttapong , Chaiprasithikul Rattanakan , Sriphrapradang Chutintorn

Introduction: Thyroid gland fibrosarcomas are very rare tumors, with only very few cases have been reported in the literature. Their similarity to anaplastic thyroid cancer poses a diagnostic challenge, often leading to misdiagnosis.Case Report: We report the case of an 87-year-old female with a history of left thyroid nodule who underwent a left lobectomy and subsequently received levothyroxine therapy. She presented with a rapidly growing mass on the r...

ea0101ps1-02-03 | Anaplastic thyroid cancer | ETA2024

Low dose radiation can improve the therapeutic efficacy of immune checkpoint inhibitor in a mouse anaplastic thyroid cancer model

Lim Ilhan

Background: Recently, immune checkpoint inhibitors (ICI) have been applied for the anaplastic thyroid cancer, and the need is increasing to optimize this treatment. The aim of this study is to investigate whether low dose radiotherapy can enhance the therapeutic efficacy of immune checkpoint inhibitor in a mouse anaplastic thyroid cancer model.Methods: Mouse anaplastic thyroid cancer cell line TBP-3743 was implanted subcutaneously in C57BL/6 mouse. Mice ...

ea0101ps1-02-04 | Anaplastic thyroid cancer | ETA2024

Progression of papillary thyroid carcinoma to anaplastic carcinoma in metastatic lymph nodes

Ene Cristina , Sandu Ionut , Enyedi Mihaly , Terzea Dana

Introduction: Aggressive forms of papillary thyroid carcinoma are more commonly observed; anaplastic and poorly differentiated types are rarer, but have a higher death rate. The transformation from papillary to anaplastic is a rare occurrence; it is even more uncommon for a small region of well-differentiated thyroid cancer to occur alongside the anaplastic form in metastatic lymph nodes.Aim: We present a case of an aggressive form of papillary thyroid c...

ea0101ps1-02-05 | Anaplastic thyroid cancer | ETA2024

Clinical and therapeutic particularities of anaplastic thyroid carcinoma

Nefzaoui Safa , Amri Ameni , Zoghlami Imen , Chiboub Dorra , Romdhane Nadia , Hariga Ines , Mbarek Chiraz

Aim: To study the clinical, evolutive and therapeutic features of anaplastic thyroid carcinoma.Methods: Retrospective descriptive study of twenty patients managed for anaplastic thyroid carcinoma over a twenty-one-year period from January 2003 to December 2023.Results: The mean age of our patients was 60 years. The average consultation time was 41.5 months, with extremes ranging from two months to 20 years. Eighteen patients consul...

ea0101ps1-02-06 | Anaplastic thyroid cancer | ETA2024

NF1 mutations in anaplastic thyroid cancer: from genetic insights to therapeutic potential

Ramone Teresa , Ciampi Raffaele , Lorusso Loredana , Agate Laura , Bottici Valeria , Brogioni Sandra , Molinaro Eleonora , Casalini Roberta , Romei Cristina , Torregrossa Liborio , Ugolini Clara , Elisei Rossella

Objective: NF1 alterations may be present in about 3% of Anaplastic thyroid cancers (ATC) in alternative to classic driver mutations; moreover, NF1 is included in several trials as target for therapy with MEK inhibitors. The objective of this study is to better characterize the role of NF1 in ATC.Methods: For this purpose, DNA and RNA were extracted from 32 cases of ATC/PDTC. We firstly analyzed classic driver mutations with 2 Next-Generation Sequencing ...

ea0101ps1-02-07 | Anaplastic thyroid cancer | ETA2024

Evaluation of the antineoplastic effect of cabozantinib in primary human cell cultures from anaplastic thyroid carcinoma

Elia Giusy , Martina Ferrari Silvia , Ragusa Francesca , Balestri Eugenia , Botrini Chiara , Rugani Licia , Mazzi Valeria , Fallahi Poupak , Antonelli Alessandro

Anaplastic thyroid cancer (ATC) is highly aggressive, and the clinical treatment and management is still challenging. In-depth knowledge of the pathways involved in the phases of tumour initiation and progression of ATC has shifted attention on the use of targeted and personalized therapies, that are based on the tumour’s genetic profile. In this context, in vitro studies allow a good preclinical evaluation of the antineoplastic effect of the drugs. We aimed to t...

ea0101ps1-02-08 | Anaplastic thyroid cancer | ETA2024

Limited efficacy in adding lenvatinib for braf V600E-mutated anaplastic thyroid carcinoma (brafm-atc) progressing on braf-directed therapy

Hamidi Sarah , Iyer Priyanka , Dadu Ramona , Gule-Monroe Maria , Maniakas Anastasios , Zafereo Mark , Wang Jennifer , Busaidy Naifa L. , E Cabanillas Maria

BackgroundBRAF/MEK inhibitors (BRAF/MEKi) dabrafenib + trametinib have revolutionized the treatment of BRAFm-ATC, but response is often short-lived. We previously reported that addition of an anti-PD-1 immune checkpoint inhibitor (ICI) to BRAF/MEKi prolongs overall survival (OS). Yet, some patients still develop resistance and progress. In BRAF V600E-mutated melanoma, OS is longer when BRAFi is continued beyond disease progression. Lenvatinib + pembrolizuma...

ea0101ps1-02-09 | Anaplastic thyroid cancer | ETA2024

Clinical applicability of liquid biopsy for the management of anaplastic thyroid carcinoma (ATC), a monocentric experience

Succi Massimiliano , Moog Sophie , Bani Mohammed-Amine , Lamartina Livia , Cornuot Clemence , Saleh Mira , Pani Fabiana , Al Ghuzlan Abir , Hartl Dana , Breuskin Ingrid , Lacroix Ludovic , Loriot Yohann , Silvin Aymeric , Dupuy Corinne , Italiano Antoine , Baudin Eric , Hadoux Julien

Introduction: ATC is the most aggressive thyroid cancer with a median overall survival of 6-12 months. The early detection of targetable molecular alterations (MAs) and matched targeted therapies might improve the prognosis.Objectives: To evaluate the clinical applicability of liquid biopsy (LB) for the molecular profiling of ATCs.Methods: This monocentric study retrospectively analysed consecutive ATC patients seen from January 20...

ea0101ps1-02-10 | Anaplastic thyroid cancer | ETA2024

Liquid biopsy in the follow-up of a patient with braf positive anaplastic thyroid cancer and breast cancer

Nunes da Silva Tiago , Rodrigues Ricardo , Saramago Ana , Pires Carolina , Rito Miguel , Andre Saudade , Dias Raquel , Leite Valeriano , Cavaco Branca

Introduction: Current imaging modalities for anaplastic thyroid cancer (ATC) have limited efficacy in evaluating remission and predicting recurrence due to residual disease. Circulating tumour DNA (ctDNA), isolated from liquid biopsies, could complement these methods and enhance diagnostic follow-up and disease monitoring. However, clinical follow-up studies using ctDNA in ATC remain scarce.Case report : An eighty-one-year-old woman with a history of HER...