Radioiodine Therapy in Patient with Differentiated Thyroid Cancer and Chronic Kidney Disease on Maintenance Hemodialysis: First Case of Bangladesh

The conventional course of differentiated thyroid cancer (DTC) treatment requires surgical resection followed by radioactive iodine (131I) therapy (RAIT). Patients are advised to drink plenty water, as 131I gets eliminated through the kidneys and burden extra radiation is reduced. Treating a case DTC with chronic kidney disease (CKD) RAIT challenging. As result, when planning hemodialysis in patient CKD, dose 131I, timing dialysis, safety must all be carefully considered. Because dialyzable, standard Geiger counter can observe detect it. A post-thyroidectomized CKD was successfully treated while continuing scheduled peritoneal (HD) simultaneously during hospital isolation, reported here. This report aimed at sharing HD management procedures, challenges any adverse effects, exposure doses 131I-treated patients their immediate post-ablative days. measurements after following 131 I administration revealed levels less than 4.20 Sv/h on fifth day, allowing safe discharge this case. Bangladesh J. Nuclear Med. 26(1): 71-74, 2023