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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Oncol. May 24, 2026; 17(5): 119615
Published online May 24, 2026. doi: 10.5306/wjco.v17.i5.119615
Anlotinib plus albumin-bound paclitaxel induction-maintenance for sorafenib-refractory radioiodine-refractory differentiated thyroid cancer: A case report and review of literature
Chun-Yan Zhou, Xin-Yi Ren, Huan-Huan Li, Xiao-Mei Pan, Xin Lan, Dong Duan
Chun-Yan Zhou, Xin-Yi Ren, Huan-Huan Li, Xiao-Mei Pan, Xin Lan, Dong Duan, Department of Nuclear Medicine, Chongqing General Hospital, Chongqing 400700, China
Author contributions: Zhou CY drafted the manuscript; Ren XY, Li HH, Pan XM, and Lan X collected the data; Duan D reviewed and edited the final manuscript; and all authors read and approved the final manuscript.
AI contribution statement: DeepL was used to assist with translation checking, and Grammarly was used for language polishing to improve grammar and readability. All content was subsequently reviewed and revised by the authors to ensure accuracy and integrity.
Supported by Natural Science Foundation of Chongqing, China, No. CSTB2023NSCQ-MSX0678.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Dong Duan, Department of Nuclear Medicine, Chongqing General Hospital, No. 118 Xingguang Avenue, Liangjiang New Area, Chongqing 400700, China. duandong26@163.com
Received: February 2, 2026
Revised: March 6, 2026
Accepted: April 1, 2026
Published online: May 24, 2026
Processing time: 108 Days and 3.1 Hours
Core Tip

Core Tip: Effective salvage treatments for radioiodine-refractory differentiated thyroid cancer (RAIR-DTC) following sorafenib failure remain severely limited. This case report presents an innovative combination and maintenance strategy. By employing anlotinib plus albumin-bound paclitaxel as induction therapy to potentially promote vascular normalization and enhance cytotoxic drug delivery, followed by anlotinib maintenance, a patient with metastatic RAIR-DTC achieved a confirmed partial response. With manageable toxicity and progression-free survival exceeding 38 months, this case suggests that the anlotinib-based regimen may provide durable disease control and warrants further prospective evaluation in patients who have exhausted first-line multikinase inhibitors.

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