2006
DOI: 10.1210/jc.2005-2838
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Long-Term Outcome of 444 Patients with Distant Metastases from Papillary and Follicular Thyroid Carcinoma: Benefits and Limits of Radioiodine Therapy

Abstract: (131)I treatment is highly effective in younger patients with (131)I uptake and with small metastases. They should be treated until the disappearance of any uptake or until a cumulative activity of 22 GBq has been administered. In the other patients, other treatment modalities should be used when tumor progression has been documented.

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Cited by 1,440 publications
(1,148 citation statements)
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References 23 publications
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“…28 -30 However, recurrence develops in 20% to 40% of patients, and with the rare occurrence of distance metastasis or extensive local invasion, the prognosis is significantly poorer. 28,31 Understanding the specific mechanisms involved in the deregulation of cell growth and cell death in thyroid cancer is critical for developing new treatments.…”
Section: Discussionmentioning
confidence: 99%
“…28 -30 However, recurrence develops in 20% to 40% of patients, and with the rare occurrence of distance metastasis or extensive local invasion, the prognosis is significantly poorer. 28,31 Understanding the specific mechanisms involved in the deregulation of cell growth and cell death in thyroid cancer is critical for developing new treatments.…”
Section: Discussionmentioning
confidence: 99%
“…In adults, it has been established that RAI therapy leads to a reduced risk of recurrence and mortality in DTC with postsurgical residual disease [44,45].In a meta-analysis, RAI benefit was demonstrated in adults with stage III and IV disease but not in stage I [46]. However this issue has not been well addressed in children.…”
Section: Treatment -Radioactive Iodine (Rai) Therapymentioning
confidence: 99%
“…These patients can experience 10-year survival rates as high as 85% (2,3). Unfortunately, local or distant metastases can occur, and 25%-66% of patients with locally advanced or metastatic disease will become refractory to treatment with radioiodine (RAI) (4,5). Patients with advanced RAI-refractory DTC are rare, representing < 5% of patients with clinical thyroid cancer.…”
Section: Ifferentiated Thyroid Cancer (Dtc) Accountsmentioning
confidence: 99%
“…At least 131 I refractory disease should be defined as the presence of a lesion that does not uptake 131 I detected at imaging, or clinical evidence that 131 I is no longer beneficial despite visible uptake or, for example, cumulative activity > 600 mCi (4,10,11). In the latter case, tumor progression should also be confirmed by imaging performed every 6 to 14 months according to Response Evaluation Criteria in Solid Tumors (12).…”
Section: Ifferentiated Thyroid Cancer (Dtc) Accountsmentioning
confidence: 99%