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Title: Irradiation-related thyroid cancer

Journal Article · · Del. Med. J.; (United States)
OSTI ID:6781839

The Division of Cancer Control and Rehabilitation of NCI has posted information for physicians with regard to irradiation-related thyroid cancer. A summary about late effects of radiation of head and neck in infancy and childhood points out that irradiation of the thyroid gland during various therapeutic regimens is now recognized as a possible cause of development of both benign and malignant thyroid tumors many years later. The often benign and slow growing tumors may develop up to 35 years after treatment. They can be removed surgically. The greatest problem is identifying persons who received radiation in childhood. Careful inspection and palpation of the gland are recommended. Radioisotope scans may be helpful since cold nodules are more likely to be carcinomas. If a nodule is suspected on palpation, administrating thyroid hormone may shrink the gland and make the nodule more prominent. Some feel that hormone given to asymptomatic patients with irradiation history may help prevent tumor development. At-risk individuals and those who have been treated surgically for thyroid malignancy should be examined every 1--2 years. Surgical exploration should be considered for thyroid nodules. The nuclear medical section of the Wilmington Medical Center has established a tumor registry for thyroid tumors and has recorded 96 patients who are being followed by a special thyroid registry. Recommendations concerning identification of patients at-risk, detection, and scintiscanning are given.

OSTI ID:
6781839
Journal Information:
Del. Med. J.; (United States), Vol. 49:3
Country of Publication:
United States
Language:
English