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A Surgeon Views Radioactive Iodine and the Thyroid Problem

Journal Article · · Southern Medical Journal
The tracer dose of radioactive iodine is helpful in diagnosis but is not a necessity. The scan will determine if nodules are hot or cold, but since beign nodules are usually cold, it does not constitute a good means of distinguishing benign from maligmant nodules. It will occasionally pick up a hot nodule that does not need to be operated on. Its use in determining the size of an exophthalmic goiter is problematical. I/sup 131/ is a better form of therapy than surgery in exophthalmic goiter in adult patients. I/sup 131/ can be used as preoperative and even definitive treatment in elderly patients with toxic nodular goiter in whom surgical mortality is excessive. I/sup 131/ therapy in cancer of the thyroid is disappointing; but, since an occasional patient does respond to such treatment it should be considered in each case.
Research Organization:
Univ. of Illinois, Chicago; Oak Park Hospitals, Chicago
Sponsoring Organization:
USDOE
NSA Number:
NSA-15-003840
OSTI ID:
4118333
Journal Information:
Southern Medical Journal, Journal Name: Southern Medical Journal Journal Issue: 4 Vol. 53; ISSN 0038-4348
Country of Publication:
Country unknown/Code not available
Language:
English

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