The role of radioiodine therapy in benign nodular goitre
| Autor: | Steen Joop Bonnema, Søren Fast, Laszlo Hegedüs |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Additional Therapy Endocrinology Diabetes and Metabolism Recombinant Human TSH Urology Thyrotropin thyroid diseases Choice Behavior Iodine Radioisotopes Endocrinology Internal medicine medicine Humans Volume reduction Adverse effect recombinant human thyrotropin Nodular goitre nodular goitre business.industry Radiotherapy Planning Computer-Assisted Thyroid Radioiodine therapy Organ Size Recombinant Proteins radioiodine Radiation exposure medicine.anatomical_structure Thyroidectomy business Goiter Nodular |
| Zdroj: | Bonnema, S J, Fast, S & Hegedüs, L 2014, ' The role of radioiodine therapy in benign nodular goitre ', Best Practice & Research: Clinical Endocrinology & Metabolism, vol. 28, no. 4, pp. 619-631 . https://doi.org/10.1016/j.beem.2014.02.001 |
| ISSN: | 1521-690X |
| DOI: | 10.1016/j.beem.2014.02.001 |
| Popis: | For treatment of benign nodular goitre the choice usually stands between surgery and (131)I therapy. (131)I therapy, used for 30 years for this condition, leads to a goitre volume reduction of 35-50% within 1-2 years. However, this treatment has limited efficacy if the thyroid (131)I uptake is low or if the goitre is large. Recombinant human TSH (rhTSH)-stimulated (131)I therapy significantly improves goitre reduction, as compared with conventional (131)I therapy without pre-stimulation, and adverse effects are few with rhTSH doses of 0.1 mg or lower. RhTSH-stimulated (131)I therapy reduces the need for additional therapy due to insufficient goitre reduction, but the price is a higher rate of hypothyroidism. Another approach with rhTSH-stimulation is to reduce the administered (131)I activity by a factor that equals the increase in the thyroid (131)I uptake. Using this approach, radiation exposure is considerably reduced while the goitre reduction is similar to that obtained with conventional (131)I therapy. |
| Databáze: | OpenAIRE |
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