What is included in postsurgical management of thyroid cancer?

Updated: May 09, 2018
  • Author: Pramod K Sharma, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

After total thyroidectomy, patients undergo radioiodine scanning to detect regional or distant metastatic disease, followed by radioablation of any residual disease found. In addition, patients are given thyroid replacement therapy with T4 or triiodothyronine (T3).

In patients with anaplastic thyroid carcinoma, chemotherapy and radiation therapy are typically administered in combination. Postoperative external-beam irradiation is effective in improving local control; this may also be used as primary treatment in unresectable cases. Chemotherapy (most commonly doxorubicin) is added for palliation.


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