Tratamiento con radioyodo de la patología tiroidea

  1. Pilar Tamayo-Alonso 1
  2. Paloma Garcia-Talavera 1
  3. Enrique Martín-Gómez 1
  4. Jose Cañadas-Salazar 1
  5. Luis Gonzaga Díaz-González 1
  1. 1 Hospital Universitario de Salamanca
    info

    Hospital Universitario de Salamanca

    Salamanca, España

    ROR https://ror.org/0131vfw26

Journal:
Revista ORL

ISSN: 2444-7986 2444-7986

Year of publication: 2020

Volume: 11

Volume: 3

Pages: 305-327

Type: Article

DOI: 10.14201/ORL.21523 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Abstract

Introduction and ojective: Radioiodine (RAI) therapy of the thyroid diseases has been used for seven decades. However, there is no consensus regarding indications, doses, procedures, and other aspects related to the clinical care of the patients considered for 131I therapy. The reason for this is the lack of large well-designed prospective clinical trials resolving fundamental ques-tions in relation to 131I therapy, despite the high prevalence of thyroid diseases. Radioiodine therapy is indicated for the treatment of hyperthyroidism (Graves’disease, toxic nodular goiter and toxic multinodular goiter), multinodular nontoxic goiter and differentiated thyroid carcinoma (DTC). In benign thyroid diseases, RAI is administered to decrease the thyroid function and/or reduction of the thyroid volume. In DTC, post-operative administration of RAI may include rem-nant ablation to eliminate residual normal thyroid tissue after thyroidectomy, adjuvant therapy to destroy suspected, but unproven residual disease and RAI therapy to treat persistent dis-ease in higher risk patients. Pending the results of the prospective clinical trials that are cur-rently underway, the use of 131I seems to be justified not only in high-risk patients, but also in low-intermediate-risk patients.

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