Low- and high-dose radioiodine ablation for low-/intermediate-risk differentiated thyroid cancer in China: A large randomized clinical trial

被引:8
作者
Dong, Ping [1 ]
Wang, Li [2 ]
Qu, Yuan [3 ]
Huang, Rui [1 ]
Li, Lin [1 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Nucl Med, Guoxue Alley 37, Chengdu 610041, Peoples R China
[2] Sichuan Univ, West China Hosp, Dept Pancreat Surg, Chengdu, Peoples R China
[3] Tongji Univ, East Hosp, Dept Med Imaging, Shanghai, Peoples R China
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2021年 / 43卷 / 04期
基金
中国国家自然科学基金;
关键词
China; differentiated thyroid cancer; prospective study; radioiodine; remnant ablation;
D O I
10.1002/hed.26594
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: To determine whether 1.1 GBq radioiodine therapy is as effective as 3.7 GBq for ablation in Chinese patients with differentiated thyroid cancer (DTC). Methods: In this single-center randomized study, we compared the successful radioiodine ablation rates of 1.1 GBq and 3.7 GBq for patients with DTC. Results: At 6-8 months after radioiodine ablation, there were 95 (39%) patients in the 1.1 GBq group and 79 (32%) patients in the 3.7 GBq group with thyroid hormone withdrawal (THW), and ablation success rates were 84% versus 80%, respectively; and 149 (61%) patients in the 1.1 GBq group and 169 (68%) patients in the 3.7 GBq group without THW, and ablation success rates were 89% versus 90%, respectively. In total, the ablation was successful in 412 (87%) of the 474 patients, and it was similar between the two groups. Conclusions: Low-dose radioiodine ablation was as effective as high dose in Chinese DTC patients.
引用
收藏
页码:1311 / 1320
页数:10
相关论文
共 29 条
[1]  
Amin MB., 2017, AJCC Cancer Staging Manual, V8, DOI [DOI 10.1007/978-3-319-40618-3, 10.1007/978-3-319-40618-3]
[2]   Revised American Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer [J].
Cooper, David S. ;
Doherty, Gerard M. ;
Haugen, Bryan R. ;
Kloos, Richard T. ;
Lee, Stephanie L. ;
Mandel, Susan J. ;
Mazzaferri, Ernest L. ;
McIver, Bryan ;
Pacini, Furio ;
Schlumberger, Martin ;
Sherman, Steven I. ;
Steward, David L. ;
Tuttle, R. Michael .
THYROID, 2009, 19 (11) :1167-1214
[3]   Bone-Marrow Suppression in Elderly Patients Following Empiric Radioiodine Therapy: Real-Life Data [J].
Duskin-Bitan, Hadar ;
Leibner, Anat ;
Amitai, Oren ;
Diker-Cohen, Talia ;
Hirsch, Dania ;
Benbassat, Carlos ;
Shimon, Ilan ;
Robenshtok, Eyal .
THYROID, 2019, 29 (05) :683-691
[4]   Low versus high radioiodine dose in postoperative ablation of residual thyroid tissue in patients with differentiated thyroid carcinoma: a large randomized clinical trial [J].
Fallahi, Babak ;
Beiki, Davood ;
Takavar, Abbas ;
Fard-Esfahani, Armaghan ;
Gilani, Kianoush Ansari ;
Saghari, Mohsen ;
Eftekhari, Mohammad .
NUCLEAR MEDICINE COMMUNICATIONS, 2012, 33 (03) :275-282
[5]   2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer [J].
Haugen, Bryan R. ;
Alexander, Erik K. ;
Bible, Keith C. ;
Doherty, Gerard M. ;
Mandel, Susan J. ;
Nikiforov, Yuri E. ;
Pacini, Furio ;
Randolph, Gregory W. ;
Sawka, Anna M. ;
Schlumberger, Martin ;
Schuff, Kathryn G. ;
Sherman, Steven I. ;
Sosa, Julie Ann ;
Steward, David L. ;
Tuttle, R. Michael ;
Wartofsky, Leonard .
THYROID, 2016, 26 (01) :1-133
[6]  
Institute NC, 2017, COMMON TERMINOLOGY C
[7]   Paradoxical changes in cystatin C and serum creatinine in patients with hypo- and hyperthyroidism [J].
Jayagopal, V ;
Keevil, BG ;
Atkin, SL ;
Jennings, PE ;
Kilpatrick, ES .
CLINICAL CHEMISTRY, 2003, 49 (04) :680-681
[8]   Serum thyroglobulin levels at the time of 131I remnant ablation just after thyroidectomy are useful for early prediction of clinical recurrence in low-risk patients with differentiated thyroid carcinoma [J].
Kim, TY ;
Kim, WB ;
Kim, ES ;
Ryu, JS ;
Yeo, JS ;
Kim, SC ;
Hong, SJ ;
Shong, YK .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2005, 90 (03) :1440-1445
[9]   Radioiodine thyroid remnant ablation in patients with differentiated thyroid carcinoma (DTC): Prospective comparison of long-term outcomes of treatment with 30, 60 and 100 mCi [J].
Kukulska A. ;
Krajewska J. ;
Gawkowska-Suwiska M. ;
Puch Z. ;
Paliczka-Cieslik E. ;
Roskosz J. ;
Handkiewicz-Junak D. ;
Jarzab M. ;
Gubaa E. ;
Jarzab B. .
Thyroid Research, 3 (1)
[10]   Low-Risk Differentiated Thyroid Cancer and Radioiodine Remnant Ablation: A Systematic Review of the Literature [J].
Lamartina, Livia ;
Durante, Cosimo ;
Filetti, Sebastiano ;
Cooper, David S. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2015, 100 (05) :1748-1761