Thyroid Cancer 101: Third World Thyroid Cancer Congress II : What did We learn about Radiation therapy after thyroid cancer surgery?
De-escalation of Radioiodine therapy
Just Say No!
- The patient must say no to radioiodine therapy RAI after thyroid cancer surgery without a second opinion.
- RAI was used for everyone with thyroid cancer after the surgery until it was determined it did not work for most patients.
- High risk cases are still possible candidates for RAI.
- Two uses for RAI. To ablate residual thyroid or residual thyroid cancer after the surgery.
- Remnant ablation is usually not needed as the thyroglobulin post surgery alone can be followed without RAI ablation.
- RAI is still important for treatment of residual disease after surgery.
- RAI refractory cancers can be re-differentiated with short term course of MEK inhibitors.
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