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• W2016111735 abstract "Summary Objective The American consensus statement on patients with low‐risk thyroid cancer, published in 2003, suggests repeat 131 I therapy if the thyroglobulin value is elevated at first follow‐up. We evaluated this strategy in our practice. Methods Among 407 patients with thyroid cancer who had total thyroidectomy and 131 I ablation between January 2000 and December 2003, 12 patients with stage I thyroid cancer (any tumour (T), any node (N), metastasis (M)0 if < 45 years or T1, N0, M0 if > 45 years), were re‐treated on the basis of their thyroglobulin level at first follow‐up. Mean patient age was 32·8 years. None of them had a T4 tumour. Thyroglobulin levels after thyroid hormone withdrawal ‘off‐T4’ ranged between 4·5 and 251 ng/ml (median 8). One to four courses of 3·7 GBq 131 I were given. Results Three patients had a negative 131 I therapy scan and an uneventful course. Two patients had slight residual uptake only in the thyroid bed and negative ultrasound examination. Four patients had isolated 131 I uptake in the mediastinal region. No abnormalities were found on complementary mediastinal imaging. This finding was interpreted as benign 131 I thymic uptake. The last three patients also had mediastinal thymic uptake associated with a slight thyroid bed uptake. One patient had a gradual increase in the thyroglobulin level, and underwent resection of nonfunctioning neck lymph nodes. Thyroglobulin levels declined in all other patients. Conclusions No distant lesions were found in a group of young ‘low‐risk’ thyroid cancer patients given empirical 131 I therapy for residual thyroglobulin. When blind 131 I therapy shows no uptake, or uptake limited to the thymus, 131 I therapy should not be repeated. The authors also briefly discuss the hypothesis that enhanced thymus might be a source of benign thyroglobulin secretion." @default.
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• W2016111735 date "2007-01-15" @default.
• W2016111735 modified "2023-10-15" @default.
• W2016111735 title "Should 'low-risk' thyroid cancer patients with residual thyroglobulin be re-treated with iodine 131?" @default.
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• W2016111735 doi "https://doi.org/10.1111/j.1365-2265.2006.02731.x" @default.
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