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- W2094769730 abstract "Purpose of review There is no consensus on the ideal treatment of patients with a benign nontoxic multinodular goiter. In some European countries, 131I therapy has replaced surgery as the treatment of choice in these patients. Recombinant human thyrotropin (rhTSH) is a very potent stimulator of the thyroid gland and this review focuses on rhTSH-stimulated 131I therapy. Recent findings The concept of rhTSH-stimulated 131I therapy has been tested in several trials during the last 8 years. With this treatment, the goiter reduction is improved by 35–55%, compared with 131I therapy without rhTSH stimulation. RhTSH prestimulation is particularly beneficial in patients with very large goiters and in those with a low baseline thyroid 131I uptake. In addition, this therapy facilitates tracheal decompression leading to improved respiratory function. RhTSH-stimulated 131I therapy results in a higher rate of permanent hypothyroidism, whereas other side-effects are very modest when using a rhTSH dose of 0.1 mg or below. Summary RhTSH-stimulated radioiodine therapy of benign nontoxic multinodular goiter is still an off-label use but several trials have shown that this treatment is significantly more effective than 131I therapy without rhTSH. However, no trial has yet compared 131I therapy and surgery head-to-head, and future trials should include evaluation of quality of life and cost." @default.
- W2094769730 created "2016-06-24" @default.
- W2094769730 creator A5039528393 @default.
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- W2094769730 date "2009-10-01" @default.
- W2094769730 modified "2023-10-18" @default.
- W2094769730 title "A 30-year perspective on radioiodine therapy of benign nontoxic multinodular goiter*" @default.
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- W2094769730 doi "https://doi.org/10.1097/med.0b013e32832ff2e1" @default.
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