Challenging cases in thyroid cancer: A multidisciplinary approach Journal Article


Authors: Tuttle, M.; Robbins, R.; Larson, S. M.; Strauss, H. W.
Article Title: Challenging cases in thyroid cancer: A multidisciplinary approach
Abstract: Recurrent thyroid cancer can present many complex management problems. Unfortunately, recurrent thyroid cancer is often refractory to radioiodine therapy. The proper use of external beam irradiation and surgical interventions can provide regional control of localized recurrences. Because of the complex nature of these patients, a multidisciplinary team approach to management which includes specialists in thyroid medicine and surgery, head and neck radiotherapy, and nuclear medicine often is required to provide individualized, optimal multimodality treatment recommendations. In this article we review a multidisciplinary team approach to a patient with widespread, radioiodine-refractory bone metastases from follicular thyroid cancer and to a patient with unresectable central neck recurrence of papillary thyroid cancer.
Keywords: adult; cancer survival; treatment outcome; aged; bone neoplasms; middle aged; review; cancer recurrence; case report; treatment planning; bone metastasis; cancer radiotherapy; nuclear magnetic resonance imaging; positron emission tomography; cancer diagnosis; radiopharmaceuticals; computer assisted tomography; neoplasm recurrence, local; recurrence; patient care team; iodine 131; radioactive iodine; iodine radioisotopes; contrast enhancement; thyroid cancer; thyroid neoplasms; thyroglobulin; recombinant thyrotropin; catheter ablation; follicular carcinoma; bone metastases; multidisciplinary approach; thyroid scintiscanning; fdg pet; beam therapy; humans; human; male; patient care management
Journal Title: European Journal of Nuclear Medicine and Molecular Imaging
Volume: 31
Issue: 4
ISSN: 1619-7070
Publisher: Springer  
Date Published: 2004-04-01
Start Page: 605
End Page: 612
Language: English
PROVIDER: scopus
PUBMED: 14666383
DOI: 10.1007/s00259-003-1324-9
DOI/URL:
Notes: Eur. J. Nucl. Med. Mol. Imaging -- Cited By (since 1996):9 -- Export Date: 16 June 2014 -- CODEN: EJNMA C2 - 14666383 -- Source: Scopus
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  1. Robert M Tuttle
    481 Tuttle
  2. Richard J Robbins
    54 Robbins
  3. Harry W Strauss
    164 Strauss
  4. Steven M Larson
    958 Larson