Essentials of Thyroid Cancer Management (Cancer Treatment and Research)

Basic Thyroid Anatomy....Pages 3-6
Thyroid and Parathyroid Physiology....Pages 7-17
Pathology and Classification Of Thyroid Carcinoma....Pages 19-31
The American Joint Committee on Cancer System of Staging Thyroid Cancer....Pages 33-36
The Diagnosis of Thyroid Cancer....Pages 39-48
Definitions: Thyroid Uptake Measurement, Thyroid Scan, and Whole Body Scan....Pages 49-54
Thyroid Stunning....Pages 55-59
The Role of a Diagnostic Radioiodine Whole Body Scan (DxWBS)....Pages 61-64
The Value of a Post-Treatment Whole Body Scan....Pages 65-68
Examples of Radioiodine Whole Body Scans....Pages 69-90
Computerized Tomography (CT) and Magnetic Resonance (MR) Imaging of Thyroid Cancer....Pages 91-94
Positron Emission Tomography (PET) of Thyroid Cancer....Pages 95-100
Neck Ultrasonography in Patients with Thyroid Cancer....Pages 101-120
Incidence, Prevalence, Recurrence, and Mortality of Differentiated Thyroid Cancer....Pages 123-130
Factors that Predict Cancer Recurrence and Death from Differentiated Thyroid Cancer....Pages 131-140
A Total Thyroidectomy Rarely Removes All Thyroid Tissue....Pages 143-145
Neck Dissections to Remove Malignant Lymph Nodes....Pages 147-151
Potential Complications of Thyroid Cancer Surgery....Pages 153-160
Half-Life and Emission Products of I-131....Pages 165-168
Choosing the Activity of I-131 for Therapy....Pages 169-175
Requirements for Outpatient Release Following I-131 Therapy....Pages 177-182
A Checklist of Things to do at the Clinic Visit Prior to I-131 Therapy....Pages 183-188
A Checklist of Things to do on the Day of I-131 Administration....Pages 189-192
Documents that Facilitate I-131 Scheduling and Patient Education....Pages 193-201
The Low-Iodine Diet....Pages 205-209
Intravenous Iodinated Contrast Effects Iodine Uptake for Months....Pages 211-213
Measuring Urinary Iodine (UI)....Pages 215-219
Using Lithium Carbonate to Increase the Effectiveness of I-131....Pages 221-227
Thyroid Hormone Withdrawal to Elevate TSH....Pages 229-231
Recombinant Human TSH: Background Information and Standard Protocol....Pages 233-237
Using rhTSH Prior to I-131 Therapy....Pages 239-246
I-131 Therapy in a Patient with a Small Thyroid Remnant....Pages 249-256
I-131 Therapy in a Patient with a Large Thyroid Remnant....Pages 257-260
Effects of Suppressing Thyrotropin on Tumor Growth and Recurrence....Pages 263-266
Potential Side Effects and Complications of I-131 Therapy....Pages 267-279
Management of Xerostomia, Taste Impairment and Dental Prophlaxis....Pages 281-283
An Overview of Follow-Up of Differentiated Thyroid Cancer....Pages 287-294
Follow-Up of Differentiated Thyroid Cancer Using Serum Thyroglobulin Measurements....Pages 295-301
Overview of Management of Differentiated Thyroid Carcinoma in Patients with Negative Whole Body Radioiodine Scans and Elevated Serum Thyroglobulin Levels....Pages 303-311
Treatment Guidelines When the Only Evidence of Disease is an Elevated Serum Thyroglobulin Level....Pages 313-316
Treatment of Residual Differentiated Thyroid Cancer in the Neck and Mediastinum....Pages 317-318
Treatment of Lung Metastases from Differentiated Thyroid Cancer....Pages 319-328
Treatment of Bone Metastases from Differentiated Thyroid Cancer....Pages 329-335
Treatment of Spinal Cord Compression from Metastatic Thyroid Cancer....Pages 337-339
Treatment of Brain Metastasis from Differentiated Thyroid Cancer....Pages 341-344
Management of Differentiated Thyroid Cancer During Pregnancy....Pages 347-350
Thyroid Cancer Originating in a Thyroglossal Duct Remnant....Pages 351-354
Tall and Collumnar Variants of Papillary Carcinoma....Pages 355-358
Diffuse Sclerosing Variant of Papillary Carcinoma....Pages 359-359
Hürthle Cell Carcinoma....Pages 361-364
Insular and other Poorly Differentiated Thyroid Carcinomas....Pages 365-367
Anaplastic Carcinoma....Pages 369-373
Diagnosis and Management of Medullary Thyroid Carcinoma....Pages 377-401
External Beam Radiotherapy Dose Schedules....Pages 405-406
Indications for External Beam Radiation Therapy for Differentiated Thyroid Cancer....Pages 407-411
Sequencing of I-131 and External Beam Radiation Therapy for Differentiated Thyroid Cancer....Pages 413-414
Indications for EBRT for Medullary and Anaplastic Thyroid Carcinoma....Pages 415-417
Conventional Radiotherapy Technique for Treating Thyroid Cancer....Pages 419-423
Intensity Modulated Radiation Therapy for Thyroid Cancer....Pages 425-431
Drawing Target Volumes for Intensity Modulated Radiation Therapy for Thyroid Cancer....Pages 433-437
Potential Toxicity of External Beam Radiotherapy for Thyroid Cancer....Pages 439-441
Resource Websites....Pages 445-446