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March 19, 2026JCEM Case Reports0 citationsOpen Access

Near-complete pathologic resolution of untreated papillary thyroid cancer after pembrolizumab-induced thyroiditis

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MLMargaret LockeSSSara SternbachNSNagashree Seetharamu

Key Points

  • To explore the therapeutic potential of immune checkpoint inhibitors for differentiated thyroid cancer, especially in cases not amenable to surgery.
  • Case report of a 55-year-old woman with untreated papillary thyroid cancer.
  • Administered pembrolizumab for breast cancer.
  • Monitored development of pembrolizumab-induced thyroiditis and cancer response.
  • Near-complete pathologic resolution of untreated papillary thyroid cancer was observed.
  • The patient developed destructive thyroiditis as a result of pembrolizumab treatment.
  • Findings imply potential benefits of ICIs for advanced differentiated thyroid cancer cases.

Abstract

Abstract Immune checkpoint inhibitors (ICIs) have revolutionized treatment for multiple cancers. However, research into the therapeutic potential of ICIs for differentiated thyroid cancer (DTC) is sparse. We present a case of a 55-year-old woman with untreated papillary thyroid cancer who received pembrolizumab as part of treatment for her breast cancer and then developed pembrolizumab-induced destructive thyroiditis, leading to near-complete pathologic resolution of her thyroid cancer. This suggests therapeutic potential to use ICIs in patients with DTCs who are not candidates for standard therapies such as surgical resection, and as an additional agent for patients with advanced metastatic DTC.

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Cite This Study

Locke et al. (2026) studied this question.

synapsesocial.com/papers/69bb92f2496e729e62980a3dhttps://doi.org/10.1210/jcemcr/luag030
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