Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer

Bernadette Biondi, Melania Pulcrano, Loredana Pagano, Gaetano LombardiDepartment of Clinical and Molecular Endocrinology and Oncology, University of Naples Federico II, Naples, ItalyAbstract: Various studies have demonstrated the safety and efficacy of recombinant human thyroid-stimulat...

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Autores principales: Bernadette Biondi, Melania Pulcrano, Loredana Pagano, Gaetano Lombardi
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Lenguaje:EN
Publicado: Dove Medical Press 2008
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Acceso en línea:https://doaj.org/article/96ab15e2218549b3bdfa6a869b362644
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spelling oai:doaj.org-article:96ab15e2218549b3bdfa6a869b3626442021-12-02T05:38:51ZAdjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer1177-54751177-5491https://doaj.org/article/96ab15e2218549b3bdfa6a869b3626442008-12-01T00:00:00Zhttp://www.dovepress.com/adjuvant-treatment-with-thyrotropin-alpha-for-remnant-ablation-in-thyr-a2652https://doaj.org/toc/1177-5475https://doaj.org/toc/1177-5491Bernadette Biondi, Melania Pulcrano, Loredana Pagano, Gaetano LombardiDepartment of Clinical and Molecular Endocrinology and Oncology, University of Naples Federico II, Naples, ItalyAbstract: Various studies have demonstrated the safety and efficacy of recombinant human thyroid-stimulating hormone (rhTSH) for radioiodine remnant ablation. On this basis, rhTSH was approved in Europe for the radioiodine ablation of low-risk differentiated thyroid cancer (DTC) during thyroid hormone therapy with L-thyroxine (L-T4). Moreover, in December 2007, the US Federal Drug Administration approved the use of rhTSH for adjuvant treatment with radioiodine in patients with DTC without evidence of metastatic thyroid cancer. Quality of life was found to be better with rhTSH preparation than with L-thyroxine withdrawal, thereby resulting in benefits for society as a whole. Furthermore, rhTSH for radioiodine remnant ablation results in a longer effective radioiodine half-life within remnant thyroid tissue and a lower specific absorbed dose in the blood and exposure of bone marrow to X-rays. More studies are required to establish the amount of radioiodine to be administered especially in high-risk patients. Keywords: thyroid cancer, thyrotropin, radioiodine (131I) remnant ablation (RRA), quality of life, ray exposure Bernadette BiondiMelania PulcranoLoredana PaganoGaetano LombardiDove Medical PressarticleMedicine (General)R5-920ENBiologics: Targets & Therapy, Vol 2009, Iss default, Pp 9-13 (2008)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Bernadette Biondi
Melania Pulcrano
Loredana Pagano
Gaetano Lombardi
Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
description Bernadette Biondi, Melania Pulcrano, Loredana Pagano, Gaetano LombardiDepartment of Clinical and Molecular Endocrinology and Oncology, University of Naples Federico II, Naples, ItalyAbstract: Various studies have demonstrated the safety and efficacy of recombinant human thyroid-stimulating hormone (rhTSH) for radioiodine remnant ablation. On this basis, rhTSH was approved in Europe for the radioiodine ablation of low-risk differentiated thyroid cancer (DTC) during thyroid hormone therapy with L-thyroxine (L-T4). Moreover, in December 2007, the US Federal Drug Administration approved the use of rhTSH for adjuvant treatment with radioiodine in patients with DTC without evidence of metastatic thyroid cancer. Quality of life was found to be better with rhTSH preparation than with L-thyroxine withdrawal, thereby resulting in benefits for society as a whole. Furthermore, rhTSH for radioiodine remnant ablation results in a longer effective radioiodine half-life within remnant thyroid tissue and a lower specific absorbed dose in the blood and exposure of bone marrow to X-rays. More studies are required to establish the amount of radioiodine to be administered especially in high-risk patients. Keywords: thyroid cancer, thyrotropin, radioiodine (131I) remnant ablation (RRA), quality of life, ray exposure
format article
author Bernadette Biondi
Melania Pulcrano
Loredana Pagano
Gaetano Lombardi
author_facet Bernadette Biondi
Melania Pulcrano
Loredana Pagano
Gaetano Lombardi
author_sort Bernadette Biondi
title Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
title_short Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
title_full Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
title_fullStr Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
title_full_unstemmed Adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
title_sort adjuvant treatment with thyrotropin alpha for remnant ablation in thyroid cancer
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/96ab15e2218549b3bdfa6a869b362644
work_keys_str_mv AT bernadettebiondi adjuvanttreatmentwiththyrotropinalphaforremnantablationinthyroidcancer
AT melaniapulcrano adjuvanttreatmentwiththyrotropinalphaforremnantablationinthyroidcancer
AT loredanapagano adjuvanttreatmentwiththyrotropinalphaforremnantablationinthyroidcancer
AT gaetanolombardi adjuvanttreatmentwiththyrotropinalphaforremnantablationinthyroidcancer
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