Low and High Radio-Iodine-131 Doses in Postoperative Ablation in Differentiated Thyroid Carcinoma
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چکیده
The goals of post-surgical RAI therapy in patients with differentiated DTC are to ablate residual normal thyroid tissue that may facilitate surveillance,) Also the potential tumoricidal effect on residual microscopic RAI-avid disease, and to provide a posttreatment whole-body scan that may reveal undetected local or distant metastases.Although, these goals are important, the ultimate endpoint of postsurgical ablation is to minimize DTC recurrence and death by eliminating residual normal thyroid tissue or residual microscopic disease that could be a focus for future recurrence(1).
منابع مشابه
Postoperative use of radioiodine (131-I): review of recommendations and guidelines.
In the management of large number of patients with differentiated thyroid cancer, the radioactive iodine (131-I) administration plays an important role. The guidelines of numerous international and national medical societies regarding the issue of postoperative 131-I administration have been published and updated in the last few years. The guidelines differ in the shape and content, and contain...
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Differentiated thyroid carcinomas usually show good uptake and response to I-131 ablative treatment. In this study, 90 patients following near total thyroidectomy who were referred to our institute for I-131 therapy are retrospectively studied. The patients are divided in two groups. Group 1 revealed complete ablation after one dose of I-131. Group 2 needed more than one dose of I-131 for...
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Remnant thyroid ablation after thyroidectomy with radioiodine (RAI, I-131) is considered the standard of care for low risk patients with well-differentiated thyroid cancer (WDTC). The choice of activity for therapy is usually empirically determined according to the tumor characteristics and the patient’s age. Many guidelines recommend a range of 1.1 to 3.7 GBq (30 to 100 mCi), although the choi...
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