Document Detail


Suppressive therapy of thyroid nodules in patients with previous radiotherapy to the head and neck.
MedLine Citation:
PMID:  3177753     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a prospective, randomized study of 431 patients with palpable thyroid nodules who had previous radiotherapy for benign disorders of the head and neck area to determine the response of the thyroid nodules to suppressive therapy and the incidence of thyroid cancer in patients who could not be suppressed and had surgery. A complete response was achieved within 6 months in 18.3 percent of the patients, and in an additional 26 percent of patients between 7 and 12 months postoperatively. Twenty percent of the patients showed complete disappearance of nodules after 1 to 2 years of suppressive therapy. Twenty-two percent who underwent surgery showed carcinoma. If suppressive therapy is to be used, a trial of 1 year rather than 3 or 6 months, as often recommended, may be appropriate.
Authors:
M S Razack; K Shimaoka; K Sako; U Rao
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of surgery     Volume:  156     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1988-11-15     Completed Date:  1988-11-15     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  290-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Head and Neck Surgery and Oncology, Roswell Park Memorial Institute, Buffalo, New York 14263.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Double-Blind Method
Female
Head and Neck Neoplasms / radiotherapy*
Humans
Male
Middle Aged
Neoplasms, Radiation-Induced / drug therapy,  surgery,  therapy*
Prospective Studies
Random Allocation
Thyroid Diseases / drug therapy,  surgery,  therapy*
Thyroid Extract, Desiccated / therapeutic use
Thyroid Neoplasms / drug therapy,  surgery,  therapy*
Thyroidectomy
Triiodothyronine / therapeutic use
Chemical
Reg. No./Substance:
0/Thyroid Extract, Desiccated; 6893-02-3/Triiodothyronine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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