Radioiodine ablation of thyroid remnants after preparation with recombinant human thyrotropin Academic Article uri icon

Overview

MeSH Major

  • Iodine Radioisotopes
  • Postoperative Care
  • Thyroid Gland
  • Thyroidectomy
  • Thyrotropin

abstract

  • Radioiodine ablation (RA) of normal thyroid remnants after thyroidectomy for differentiated thyroid carcinoma improves the sensitivity of subsequent radioiodine scans and serum thyroglobulin measurements for detection of residual thyroid carcinoma. Local cancer recurrences are also lower after RA. One standard preparation for RA involves rendering the patient hypothyroid in order to stimulate endogenous thyrotropin (TSH) secretion and sodium iodide symporter (NIS) activity. An alternative approach is to prescribe thyroxine after thyroidectomy and to stimulate NIS with exogenous recombinant human thyrotropin (rhTSH). This latter approach was used in 10 patients at our medical center. Complete resolution of all visible 131I thyroid bed uptake was achieved in all when follow-up scans were performed 5 to 13 months later. This approach has the potential to successfully ablate thyroid remnants without the need to induce hypothyroidism.

publication date

  • January 2001

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1089/105072501316973127

PubMed ID

  • 11575856

Additional Document Info

start page

  • 865

end page

  • 9

volume

  • 11

number

  • 9