Augmentation of Radioiodine Uptake by Pulmonary Metastasis of Papillary Thyroid Carcinoma Treated with Dabrafenib and Trametinib

Elona Malja, Asha Kandathil, Fangyu Peng

Research output: Contribution to journalArticlepeer-review

Abstract

Redifferentiation therapy with Dabrafenib (a BRAF inhibitor) and Trametinib (a MEK inhibitor) restores radioiodine avidity of radioiodine-refractory papillary thyroid carcinoma (PTC). A 50-year-old man was diagnosed with radioiodine-refractory PTC pulmonary metastasis post prior total thyroidectomy and radioiodine ablation. The patient was treated with Dabrafenib and Trametinib, followed by second radioiodine ablation with I-131 sodium iodine. Diffuse increased radioiodine uptake by pulmonary metastasis was visualized on post ablation whole body scan. Response to second radioiodine ablation was demonstrated by decrease in size of pulmonary nodules seen on chest CT, along with decrease of thyroglobulin level.

Original languageEnglish (US)
Pages (from-to)92-94
Number of pages3
JournalNuclear Medicine and Molecular Imaging
Volume58
Issue number2
DOIs
StatePublished - Apr 2024

Keywords

  • BRAF-V600E mutation
  • Dabrafenib
  • Papillary thyroid carcinoma
  • Radioiodine
  • Trametinib

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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