Clinical Study
18F-FDG Pet-Guided External Beam Radiotherapy in Iodine-Refractory Differentiated Thyroid Cancer: A Pilot Study
Table 2
Treatments history.
| Case | Surgical interventions at diagnosis | Other surgical interventions | N° RAI (total dose MBq) | Range primary diagnosis, EBRT (months) | Tg on L-T4 therapy at last recurrence (ng/ml) | Stimulated Tg at last recurrence (ng/ml) |
| 1 | TT + neck LA (central + ipsilateral) | Bilateral clavicular LA | 3 (11100) | 61 | 18.3 | 530.0 | 2 | TT + neck LA (central) | Surgical neck LA (central) revision | 2 (11100) | 96 | <0. | <0. | 3 | TT + neck LA (central + ipsilateral) | — | 1 (5624) | 3 | 1.1 | 41.5 | 4 | TT + neck LA (central) | Bilateral neck LA | 5 (18500) | 72 | 5.6 | 294.0 | 5 | TT + neck LA (ipsilateral) | Contralateral neck LA | 3 (18620) | 22 | 2.5 | 14.3 | 6 | TT + neck LA (ipsilateral) | Ipsilateral paratracheal LA | 3 (12921) | 103 | 3.1 | 18.3 | 7 | TT + neck LA (central) | — | 1 (5534) | 6 | 21.9 | 74.4 | 8 | TT | Ipsilateral clavicular LA | 4 (25900) | 154 | 17.8 | 25.8 | 9 | TT + neck LA (central) | — | 2 (9425) | 49 | 1.0 | 1.5 | 10 | TT | — | 1 (5533) | 2 | 299.0 | 706.0 | 11 | TT + neck LA (ipsilateral) | — | 2 (11163) | 25 | 3.3 | 19.1 | 12 | TT + neck LA (bilateral) + partial laryngectomy | Surgical unilateral neck LA revision | 3 (11290) | 82 | 4.7 | 184.0 | 13 | TT + neck LA (bilateral) | — | 3 (18620) | 95 | 114.0 | 388.0 | 14 | TT + neck LA (central) | Mediastinal LA + contralateral neck LA | 2 (9284) | 20 | 3.2 | 27.8 | 15 | TT + neck LA sampling (central) | — | 1 (7322) | 2 | 3.5 | 102.0 | 16 | TT + neck LA (bilateral) + laryngectomy | — | 1 (5714) | 3 | 80.0 | 167.0 |
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of high AbTg levels; EBRT: external beam radiotherapy; Tg: thyroglobulin; LA: lymphadenectomy; RAI: radioiodine ablation; TT: total thyroidectomy; WBS: whole body scintigraphy.
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