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. 1982 Sep-Dec;55(5-6):521–528.

Anaplastic carcinoma following well-differentiated thyroid cancer: etiological considerations.

D S Kapp, V A LiVolsi, M M Sanders
PMCID: PMC2596574  PMID: 7183024

Abstract

Most cases of anaplastic thyroid carcinoma can be pathologically and often historically associated with the presence of low-grade (differentiated) cancer in the thyroid. That radiation therapy to the differentiated tumor plays an etiologic role in the transformation of a differentiated to an undifferentiated tumor has been suggested. If such therapy can be implicated, is there a difference in risk between external radiotherapy or radioactive iodine? Review of the literature discloses that more anaplastic carcinoma of the thyroid develop in patients without a history of prior radiation than in individuals who have received radiation. We report our recent experience with two patients who demonstrated the sequence of well-differentiated followed by anaplastic thyroid cancer subsequent to radiation and review the question.

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Selected References

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  1. Aldinger K. A., Samaan N. A., Ibanez M., Hill C. S., Jr Anaplastic carcinoma of the thyroid: a review of 84 cases of spindle and giant cell carcinoma of the thyroid. Cancer. 1978 Jun;41(6):2267–2275. doi: 10.1002/1097-0142(197806)41:6<2267::aid-cncr2820410627>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  2. Beierwaltes W. H. The treatment of thyroid carcinoma with radioactive iodine. Semin Nucl Med. 1978 Jan;8(1):79–94. doi: 10.1016/s0001-2998(78)80009-9. [DOI] [PubMed] [Google Scholar]
  3. CRILE G., Jr Endocrine dependency of tumors of the thyroid. Am J Surg. 1960 Apr;99:533–537. doi: 10.1016/0002-9610(60)90147-1. [DOI] [PubMed] [Google Scholar]
  4. CRILE G., Jr The endocrine dependency of certain thyroid cancers and the danger that hypothyroidism may stimulate their growth. Cancer. 1957 Nov-Dec;10(6):1119–1137. doi: 10.1002/1097-0142(195711/12)10:6<1119::aid-cncr2820100607>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  5. CRILE G., Jr, WILSON D. H. Transformation of a low grade papillary carcinoma of the thyroid to an anaplastic carcinoma after treatment with radioiodine. Surg Gynecol Obstet. 1959 Mar;108(3):357–360. [PubMed] [Google Scholar]
  6. FRAZELL E. L., FOOTE F. W., Jr Papillary cancer of the thyroid; a review of 25 years of experience. Cancer. 1958 Sep-Oct;11(5):895–922. doi: 10.1002/1097-0142(195809/10)11:5<895::aid-cncr2820110506>3.0.co;2-v. [DOI] [PubMed] [Google Scholar]
  7. Frantz V. K., Ball R. P., Keston A. S., Palmer W. W. Thyroid Carcinoma With Metastases: Studied With Radioactive Iodine. Ann Surg. 1944 May;119(5):668–689. doi: 10.1097/00000658-194405000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Harada T., Ito K., Shimaoka K., Hosoda Y., Yakumaru K. Fatal thyroid carcinoma. Anaplastic transformation of adenocarcinoma. Cancer. 1977 Jun;39(6):2588–2596. doi: 10.1002/1097-0142(197706)39:6<2588::aid-cncr2820390643>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  9. Heitz P., Moser H., Staub J. J. Thyroid cancer: a study of 573 thyroid tumors and 161 autopsy cases observed over a thirty-year period. Cancer. 1976 May;37(5):2329–2337. doi: 10.1002/1097-0142(197605)37:5<2329::aid-cncr2820370523>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  10. Hutter R. V., Tollefsen H. R., De Cosse J. J., Foote F. W., Jr, Frazell E. L. Spindle and giant cell metaplasia in papillary carcinoma of the thyroid. Am J Surg. 1965 Oct;110(4):660–668. doi: 10.1016/0002-9610(65)90057-7. [DOI] [PubMed] [Google Scholar]
  11. KRAMER S., CONCANNON J. P., EVANS H. D., CLARK G. M. Thyroid carcinoma; a report on the diagnostic and therapeutic use of radio-iodine. Br J Radiol. 1955 Jun;28(330):307–313. doi: 10.1259/0007-1285-28-330-307. [DOI] [PubMed] [Google Scholar]
  12. Kyriakides G., Sosin H. Anaplastic carcinoma of the thyroid. Ann Surg. 1974 Mar;179(3):295–299. doi: 10.1097/00000658-197403000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Leeper R. D. The effect of 131 I therapy on survival of patients with metastatic papillary or follicular thyroid carcinoma. J Clin Endocrinol Metab. 1973 Jun;36(6):1143–1152. doi: 10.1210/jcem-36-6-1143. [DOI] [PubMed] [Google Scholar]
  14. MEISSNER W. A., LEGG M. A. Persistent thyroid carcinoma. J Clin Endocrinol Metab. 1958 Jan;18(1):91–98. doi: 10.1210/jcem-18-1-91. [DOI] [PubMed] [Google Scholar]
  15. Maheshwari Y. K., Hill C. S., Jr, Haynie T. P., 3rd, Hickey R. C., Samaan N. A. 131I therapy in differentiated thyroid carcinoma: M. D. Anderson Hospital experience. Cancer. 1981 Feb 15;47(4):664–671. doi: 10.1002/1097-0142(19810215)47:4<664::aid-cncr2820470408>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
  16. Mazzaferri E. L., Young R. L., Oertel J. E., Kemmerer W. T., Page C. P. Papillary thyroid carcinoma: the impact of therapy in 576 patients. Medicine (Baltimore) 1977 May;56(3):171–196. [PubMed] [Google Scholar]
  17. Nishiyama R. H., Dunn E. L., Thompson N. W. Anaplastic spindle-cell and giant-cell tumors of the thyroid gland. Cancer. 1972 Jul;30(1):113–127. doi: 10.1002/1097-0142(197207)30:1<113::aid-cncr2820300118>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
  18. Pochin E. E. Prospects from the treatment of thyroid carcinoma with radioiodine. Clin Radiol. 1967 Apr;18(2):113–125. doi: 10.1016/s0009-9260(67)80001-1. [DOI] [PubMed] [Google Scholar]
  19. Silverberg S. G., Hutter R. V., Foote F. W., Jr Fatal carcinoma of the thyroid: histology, metastases, and causes of death. Cancer. 1970 Apr;25(4):792–802. doi: 10.1002/1097-0142(197004)25:4<792::aid-cncr2820250408>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  20. TOLLEFSEN H. R., DECOSSE J. J., HUTTER R. V. PAPILLARY CARCINOMA OF THE THYROID. A CLINICAL AND PATHOLOGICAL STUDY OF 70 FATAL CASES. Cancer. 1964 Aug;17:1035–1044. doi: 10.1002/1097-0142(196408)17:8<1035::aid-cncr2820170810>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
  21. Tubiana M., Lacour J., Monnier J. P., Bergiron C., Gerard-Marchant R., Roujeau J., Bok B., Parmentier C. External radiotherapy and radioiodine in the treatment of 359 thyroid cancers. Br J Radiol. 1975 Nov;48(575):894–907. doi: 10.1259/0007-1285-48-575-894. [DOI] [PubMed] [Google Scholar]
  22. WARD R. Cancer of the thyroid in children. Am J Surg. 1955 Aug;90(2):338–344. doi: 10.1016/0002-9610(55)90766-2. [DOI] [PubMed] [Google Scholar]
  23. WINSHIP T., ROSVOLL R. V. Childhood thyroid carcinoma. Cancer. 1961 Jul-Aug;14:734–743. doi: 10.1002/1097-0142(199007/08)14:4<734::aid-cncr2820140410>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
  24. WOOLNER L. B., BEAHRS O. H., BLACK B. M., McCONAHEY W. M., KEATING F. R., Jr Classification and prognosis of thyroid carcinoma. A study of 885 cases observed in a thirty year period. Am J Surg. 1961 Sep;102:354–387. doi: 10.1016/0002-9610(61)90527-x. [DOI] [PubMed] [Google Scholar]
  25. WYCHULIS A. R., BEAHRS O. H., WOOLNER L. B. PAPILLARY CARCINOMA WITH ASSOCIATED ANAPLASTIC CARCINOMA IN THE THYROID GLAND. Surg Gynecol Obstet. 1965 Jan;120:28–34. [PubMed] [Google Scholar]
  26. Woolner L. B. Thyroid carcinoma: pathologic classification with data on prognosis. Semin Nucl Med. 1971 Oct;1(4):481–502. doi: 10.1016/s0001-2998(71)81042-5. [DOI] [PubMed] [Google Scholar]

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