Usefulness of low iodine diet in managing patients with differentiated thyroid cancer - initial results

Autor: Drazen Huic, Marijan Zuvic, Margareta Dobrenic, Ratimir Petrovic, Tatjana Samardzic, Darko Grošev
Rok vydání: 2011
Předmět:
Zdroj: Radiology and Oncology
ISSN: 1581-3207
1318-2099
DOI: 10.2478/v10019-011-0017-4
Popis: Background. Low iodine diet (LID) is recommended in patients with differentiated thyroid cancer before radioiodine administration. Patients with increased thyroglobulin (Tg) level, but negative 131I whole body scan present diagnostic and therapeutic dilemma. This study was designed to evaluate the benefit of a two-week LID in patients with elevated serum Tg levels and negative 131I whole body scans. Patients and methods. For the impact assessment of two-week LID on radioiodine tissue avidity, radioiodine scans before and after LID were compared. Sixteen patients with serum Tg > 2 μg/L, negative Tg-antibodies, and negative radioiodine scans underwent two-week LID before the 131I administration. Fourteen patients underwent diagnostic scanning and two patients received radioiodine therapy. Iodine concentration in the morning urine specimens were measured in each patient, a day before and 15th day after starting LID. Results . Following self-managed LID, patients were able to significantly reduce their iodine body content by 50% (range 28-65%, p
Databáze: OpenAIRE