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for months or even years, but diarrhea may be debilitating. Slow tumor growth is common, and distant metastases limited to a single organ may be considered for curative surgical resection or another local treatment modality. Patients with distant
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NOVA Medical School
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treatment in cutaneous metastases of PTC with improvement of local symptoms. Introduction The vast majority of thyroid cancers of follicular origin have a very favorable outcome, but 5–10% of the cases will develop metastatic disease [ 1 ]. The
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be managed in patients with GO, though not on the treatment of GO itself [ 4 ]. A number of randomized clinical trials on the treatment of GO have been published in the last few years, and their outcome has influenced substantially the management of
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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that continuation of RAI treatment in this situation is not beneficial. A combination of RAI therapy for RAI-avid lesions and local treatment for one or a limited number of RAI refractory lesions may be considered in certain patients. Progression
Division of Interventional Radiology, European Institute of Oncology, IRCCS, Milan, Italy
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Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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]. Most DTCs are not aggressive tumors, as the disease-specific mortality rate is 0.7 and 0.5% per 100,000 person-years for women and men, respectively [ 1 ]. After successful initial treatment, local recurrences of PTC were registered during a 10-year
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baseline and at the 6-month timepoint from patient 1 showing complete response at both local and distant metastatic sites at 6 months after treatment initiation. A. Thyroid bed. B. Left hilar lymph node. C and D. Muscle. Table 2 Treatment
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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thyroidectomy for TC are very rare. In the following we present a case of a 68-year-old male with GD and metastatic TC (papillary adenocarcinoma of follicular type), where the presence of TRAB complicated treatment of the latter. The case report is presented in
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Department of Internal Medicine and Therapeutics, University of Pavia, Italy
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). Different approaches may be considered on a case-by-case basis in real-life practice. For example, potentially high-risk or life-threatening lesions (e.g. lesion close to cavitate organs or encasing blood vessels) may require local treatment or the start of
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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main causes include congenital hypothyroidism (CH), previous surgery/ablative treatments, neck radiotherapy, hypothyroid phase of subacute or silent thyroiditis, or drugs affecting thyroid function such as iodine-rich drugs, cytokines, tyrosine kinases
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hypothyroidism. Thyroid Cancer and Lymph Node Metastases TA as well as EA have been reported to offer promising results in the treatment of local recurrent and and/or persistent DTC [ 48 ]. The results of the present survey are, to some extent