Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides

Consensus porposal on the use of iodine-131 in hyperthyroidism and thyroid cancer A consensus meeting held by the Chilean Endocrinological Society reached to 22 consensus proposals on the use of iodine-131 in hyperthyroidism and thyroid cancer, that are reported in this paper. Some of these propos...

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Autor principal: Michaud Ch.,Patricio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 1998
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700015
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spelling oai:scielo:S0034-988719980007000151999-06-15Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroidesMichaud Ch.,Patricio Thyroid diseases goiter GravesÕ disease Thyrotoxicosis Thyroid neoplasms Iodine radioisotopes, therapeutic Consensus porposal on the use of iodine-131 in hyperthyroidism and thyroid cancer A consensus meeting held by the Chilean Endocrinological Society reached to 22 consensus proposals on the use of iodine-131 in hyperthyroidism and thyroid cancer, that are reported in this paper. Some of these propositions are: 1) Hyperthyroidism: A previous 131I uptake test must be performed. A calculated or an ablative dose should be administered. Hypothyroidism must be considered an objective rather than a complication. In patients with cardiovascular risk, normal thyroid function must be attained with propythioturacil. In cases of treatment failure, the dose should not be repeated before six months. It must be used with used with caution in children and teenagers. 2) Thyroid cancer: A iodine free diet is recommended prior to the therapeutic dose. A 100 mCi complementary ablative dose should be given after surgery, with a posterior exploration. This examination must not be done routinely, and if required, a 5 mCi dose should be used. For the treatment of metastases, a dose of 150 to 200 mCi is recommended. There is no radiation risk in hyperthyroidism or thyroid cancer. The only absolute contraindication is pregnancy. Recommendations for radiological protection are formulated. Hospitalization is suggested to protect other people from radiation exposure.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.126 n.7 19981998-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700015es10.4067/S0034-98871998000700015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Thyroid diseases
goiter
GravesÕ disease
Thyrotoxicosis
Thyroid neoplasms
Iodine radioisotopes, therapeutic
spellingShingle Thyroid diseases
goiter
GravesÕ disease
Thyrotoxicosis
Thyroid neoplasms
Iodine radioisotopes, therapeutic
Michaud Ch.,Patricio
Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
description Consensus porposal on the use of iodine-131 in hyperthyroidism and thyroid cancer A consensus meeting held by the Chilean Endocrinological Society reached to 22 consensus proposals on the use of iodine-131 in hyperthyroidism and thyroid cancer, that are reported in this paper. Some of these propositions are: 1) Hyperthyroidism: A previous 131I uptake test must be performed. A calculated or an ablative dose should be administered. Hypothyroidism must be considered an objective rather than a complication. In patients with cardiovascular risk, normal thyroid function must be attained with propythioturacil. In cases of treatment failure, the dose should not be repeated before six months. It must be used with used with caution in children and teenagers. 2) Thyroid cancer: A iodine free diet is recommended prior to the therapeutic dose. A 100 mCi complementary ablative dose should be given after surgery, with a posterior exploration. This examination must not be done routinely, and if required, a 5 mCi dose should be used. For the treatment of metastases, a dose of 150 to 200 mCi is recommended. There is no radiation risk in hyperthyroidism or thyroid cancer. The only absolute contraindication is pregnancy. Recommendations for radiological protection are formulated. Hospitalization is suggested to protect other people from radiation exposure.
author Michaud Ch.,Patricio
author_facet Michaud Ch.,Patricio
author_sort Michaud Ch.,Patricio
title Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
title_short Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
title_full Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
title_fullStr Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
title_full_unstemmed Proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
title_sort proposición de consenso para el uso de yodo 131 en el tratamiento de la tirotoxicosis y el cáncer del tiroides
publisher Sociedad Médica de Santiago
publishDate 1998
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700015
work_keys_str_mv AT michaudchpatricio proposiciondeconsensoparaelusodeyodo131eneltratamientodelatirotoxicosisyelcancerdeltiroides
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