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External irradiation for malignant thyroid tumors.

C T Chung, R H Sagerman, M C Ryoo

    Radiology
    |September 1, 1980
    PubMed
    Summary
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    External beam radiation therapy effectively treats thyroid cancers that do not respond to radioactive iodine (1-131). This approach offers a viable option for local tumor control and long-term survival in advanced or recurrent cases.

    Area of Science:

    • Oncology
    • Radiotherapy
    • Endocrinology

    Background:

    • Thyroid cancers resistant to radioactive iodine (1-131) pose a treatment challenge.
    • External beam irradiation is an alternative modality for managing such cases.

    Purpose of the Study:

    • To evaluate the efficacy of external beam irradiation in patients with residual or recurrent thyroid cancer lacking 1-131 uptake.
    • To analyze factors influencing survival and treatment outcomes.

    Main Methods:

    • Thirty-eight patients with advanced thyroid malignancies underwent external beam irradiation.
    • Doses ranged from 35 to 70 Gy.
    • Patient data including histology, stage, and treatment parameters were reviewed.

    Main Results:

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    • Local tumor control was achieved in 8 out of 23 patients with local disease.
    • Six patients survived disease-free for 2-11 years.
    • Malignant lymphoma cases were excluded from primary analysis.

    Conclusions:

    • External beam irradiation is a valuable treatment option for thyroid malignancies without 1-131 uptake.
    • It should be considered for locally advanced, recurrent, or metastatic thyroid cancers.
    • Further analysis of survival and failure patterns is warranted.