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Journal of Clinical Endocrinology & Metabolism, Vol 50, 967-968, Copyright © 1980 by Endocrine Society


ARTICLES

Radioiodine as an adjunct to the surgical treatment of medullary thyroid carcinoma

LJ Deftos and MF Stein

After total thyroidectomy for medullary thyroid carcinoma, a 50-yr-old male was found to have decreased but still abnormally elevated plasma calcitonin levels. A thyroid scan with 131I revealed remaining thyroid tissue primarily in the form of a thyroglossal duct remnant. Two courses of 131I treatment of 30 and 150 mCi, respectively, produced a gradual decrease in plasma calcitonin. This study demonstrates that carefully selected patients may benefit from the use of 131I treatment as an adjunct to surgery in medullary thyroid carcinoma.





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