Evidence map›Paper›PMID 42747610›Full record

ReviewEndocrine2026

Neoadjuvant therapy in thyroid cancer: an emerging approach.

Fabián Pitoia, Inés Califano, Marika Russell, David Shonka, Pierpaolo Trimboli, Laura Fugazzola, Gregory Randolph

Abstract readReview
PubMed Publisher
In one paragraph

Review in Endocrine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Fabián PitoiaDivision of Endocrinology, Hospital de Clínicas José de San Martín, University of Buenos Aires, Buenos Aires, Argentina. fpitoia@intramed.net.ORCID 0000-0002-2742-7085
Inés CalifanoDepartment of Endocrinology, Instituto de Oncologia AH Roffo, University of Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0002-7450-5832
Marika RussellDivision of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-5436-3649
David ShonkaDepartment of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-8893-9703
Pierpaolo TrimboliClinic for Endocrinology and Diabetology, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.ORCID 0000-0002-2125-4937
Laura FugazzolaDepartment of Health Sciences, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy.ORCID 0000-0001-5372-0982
Gregory RandolphDivision of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-5373-9181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNeoadjuvant therapy in thyroid cancer has emerged as a promising strategy for selected patients with locally advanced disease, but its rationale and clinical impact vary substantially across histologies.

methodsThis comment examines the current evidence and clinical rationale for neoadjuvant therapy across anaplastic, differentiated and medullary thyroid carcinomas.

resultsFor BRAF V600E-mutated anaplastic thyroid carcinoma, targeted therapy has created a meaningful window for surgical resection in patients previously considered unresectable, representing the clearest proof of concept. In differentiated thyroid cancer, preoperative systemic therapy remains more selective and investigational, mainly supported by case reports, small series, and early clinical trial data, with unresolved questions regarding patient selection, optimal treatment, surgical endpoints, and durability of benefit. With medullary thyroid carcinoma, evidence remains even more limited.

conclusionsNeoadjuvant therapy should not be viewed as a uniform paradigm across thyroid cancers, but as a histology-specific strategy with applicability based on tumor responsiveness amounting to improved resectability, reduced surgical morbidity, durable disease control, and real-world feasibility.

Indexed as

Carcinoma, NeuroendocrineNeoadjuvant TherapyThyroid Carcinoma, AnaplasticThyroid NeoplasmsHumansProto-Oncogene Proteins B-rafProto-Oncogene Proteins B-raf

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.