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  • Title: [Multi-modality therapy concept in metastatic follicular thyroid carcinoma with hyperthyroidism].
    Author: Brauckhoff M, Dorsch K, Hädecke J, Kujat C, Straube F, Krause U, Dralle H.
    Journal: Chirurg; 2001 Jan; 72(1):37-42. PubMed ID: 11225454.
    Abstract:
    The coincidence of hyperthyroidism and thyroid carcinoma seldom occurs. Only few reports on functionally metastases of thyroid carcinoma have been published. We report a 59-year-old man who underwent subtotal thyroidectomy for toxic nodular goiter. Histological examination revealed a follicular thyroid carcinoma. After thyroidectomy and cervical lymphadenectomy the patient developed a strong hyperthyreosis. Scintigraphy showed strong radioiodine uptake in the sacrum. De-bulking resection of the metastasis followed by high-dose radioiodine treatment was performed. After radioiodine therapy the patient became euthyroid. Treatment of hyperthyreosis in metastatic thyroid cancer requires a multimodal therapeutic concept.
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