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Correspondence
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Volume 359:2727 December 18, 2008 Number 25
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Motesanib Diphosphate in Progressive Differentiated Thyroid Cancer

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 by Sherman, S. I.
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To the Editor: Sherman et al. (July 3 issue)1 highlight the importance of selecting patients for alternative therapies, such as motesanib diphosphate, in the treatment of progressive differentiated thyroid carcinomas. Although radiographic findings are useful criteria for predicting a response to motesanib, they can be supplemented by the microscopical findings — in particular, growth pattern, necrosis, and desmoplastic reaction — which have been correlated with progression prediction.2 The genotypic alterations described in follicular-cell neoplasms control the mitogen-activated protein (MAP) kinase pathway and proliferation. Was any correlation found with proliferation markers? Which radiographic criteria were used to define progression in metastatic . . . [Full Text of this Article]




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