Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302010000900006 |
Resumo: | OBJECTIVE: Evaluate the efficacy of cumulative doses (CDs) of 131I-iodide therapy (RIT) in differentiated thyroid cancer (DTC). SUBJECTS AND METHODS: The probability of progressive disease according to CDs was evaluated in patients < 45 years old and > 45 years old and correlated to tumor-node-metastasis (TNM), thyroglobulin values, histological types and variants, age, and zduration of the disease. RESULTS: At the end of a follow-up period of 69 ± 56 months, 85 out of 150 DTC patients submitted to fixed doses RIT had no evidence of disease, 47 had stable disease and 18 had progressive disease. Higher CDs were used in the more aggressive variants (p < 0.0001), higher TNM stages (p < 0.0001), and follicular carcinomas (p = 0.0034). Probability of disease progression was higher with CDs > 600 mCi in patients > 45 years old and with CDs > 800 mCi in patients < 45 years. CONCLUSION: Although some patients may still respond to high CDs, the impact of further RIT should be carefully evaluated and other treatment strategies may be warranted. |
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Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
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Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stopCumulative doseradioiodine therapy131I-iodidedifferentiated thyroid cancerOBJECTIVE: Evaluate the efficacy of cumulative doses (CDs) of 131I-iodide therapy (RIT) in differentiated thyroid cancer (DTC). SUBJECTS AND METHODS: The probability of progressive disease according to CDs was evaluated in patients < 45 years old and > 45 years old and correlated to tumor-node-metastasis (TNM), thyroglobulin values, histological types and variants, age, and zduration of the disease. RESULTS: At the end of a follow-up period of 69 ± 56 months, 85 out of 150 DTC patients submitted to fixed doses RIT had no evidence of disease, 47 had stable disease and 18 had progressive disease. Higher CDs were used in the more aggressive variants (p < 0.0001), higher TNM stages (p < 0.0001), and follicular carcinomas (p = 0.0034). Probability of disease progression was higher with CDs > 600 mCi in patients > 45 years old and with CDs > 800 mCi in patients < 45 years. CONCLUSION: Although some patients may still respond to high CDs, the impact of further RIT should be carefully evaluated and other treatment strategies may be warranted.Sociedade Brasileira de Endocrinologia e Metabologia2010-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302010000900006Arquivos Brasileiros de Endocrinologia & Metabologia v.54 n.9 2010reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online)instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)instacron:SBEM10.1590/S0004-27302010000900006info:eu-repo/semantics/openAccessMartins-Filho,RaulWard,Laura S.Amorim,Barbara J.Santos,Allan O.Lima,Mariana C. L. deRamos,Celso D.Matos,Patricia S.Assumpção,Lígia V. M.Camargo,Edwaldo E.Etchebehere,Elba C. S. C.eng2011-02-08T00:00:00Zoai:scielo:S0004-27302010000900006Revistahttps://www.aem-sbem.com/ONGhttps://old.scielo.br/oai/scielo-oai.php||abem-editoria@endocrino.org.br1677-94870004-2730opendoar:2011-02-08T00:00Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)false |
dc.title.none.fl_str_mv |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
title |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
spellingShingle |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop Martins-Filho,Raul Cumulative dose radioiodine therapy 131I-iodide differentiated thyroid cancer |
title_short |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
title_full |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
title_fullStr |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
title_full_unstemmed |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
title_sort |
Cumulative doses of radioiodine in the treatment of differentiated thyroid carcinoma: knowing when to stop |
author |
Martins-Filho,Raul |
author_facet |
Martins-Filho,Raul Ward,Laura S. Amorim,Barbara J. Santos,Allan O. Lima,Mariana C. L. de Ramos,Celso D. Matos,Patricia S. Assumpção,Lígia V. M. Camargo,Edwaldo E. Etchebehere,Elba C. S. C. |
author_role |
author |
author2 |
Ward,Laura S. Amorim,Barbara J. Santos,Allan O. Lima,Mariana C. L. de Ramos,Celso D. Matos,Patricia S. Assumpção,Lígia V. M. Camargo,Edwaldo E. Etchebehere,Elba C. S. C. |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Martins-Filho,Raul Ward,Laura S. Amorim,Barbara J. Santos,Allan O. Lima,Mariana C. L. de Ramos,Celso D. Matos,Patricia S. Assumpção,Lígia V. M. Camargo,Edwaldo E. Etchebehere,Elba C. S. C. |
dc.subject.por.fl_str_mv |
Cumulative dose radioiodine therapy 131I-iodide differentiated thyroid cancer |
topic |
Cumulative dose radioiodine therapy 131I-iodide differentiated thyroid cancer |
description |
OBJECTIVE: Evaluate the efficacy of cumulative doses (CDs) of 131I-iodide therapy (RIT) in differentiated thyroid cancer (DTC). SUBJECTS AND METHODS: The probability of progressive disease according to CDs was evaluated in patients < 45 years old and > 45 years old and correlated to tumor-node-metastasis (TNM), thyroglobulin values, histological types and variants, age, and zduration of the disease. RESULTS: At the end of a follow-up period of 69 ± 56 months, 85 out of 150 DTC patients submitted to fixed doses RIT had no evidence of disease, 47 had stable disease and 18 had progressive disease. Higher CDs were used in the more aggressive variants (p < 0.0001), higher TNM stages (p < 0.0001), and follicular carcinomas (p = 0.0034). Probability of disease progression was higher with CDs > 600 mCi in patients > 45 years old and with CDs > 800 mCi in patients < 45 years. CONCLUSION: Although some patients may still respond to high CDs, the impact of further RIT should be carefully evaluated and other treatment strategies may be warranted. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302010000900006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302010000900006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27302010000900006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia v.54 n.9 2010 reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online) instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) instacron:SBEM |
instname_str |
Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) |
instacron_str |
SBEM |
institution |
SBEM |
reponame_str |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
collection |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) |
repository.mail.fl_str_mv |
||abem-editoria@endocrino.org.br |
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1754734811320156160 |