title: The treatment of metastatic thyroid disease.
abstract: 1. Removal of all resectable disease commensurate with reasonable morbidity and mortality is the initial treatment of all thyroid carcinoma. 2. Patients with no evidence of recurrent metastatic well-differentiated thyroid carcinoma should be placed on suppressive doses of Synthroid. 3. 131I is utilized for nonresectable and for distant metastatic well-differentiated thyroid carcinoma. External radiation therapy and chemotherapy are utilized in recurrent or metastatic thyroid carcinomas that do not concentrate 131I.
authors.affiliation: Department of Otolaryngology, State University of New York, Buffalo School of Medicine.
authors.forename: K Y
authors.initials: KY
authors.lastname: Lee
authors.forename: J M
authors.initials: JM
authors.lastname: Loré
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000235:genetics / Q000601:surgery; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary*; D002277:Carcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis / Q000235:genetics / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary*; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis / Q000235:genetics / Q000601:surgery; D007457:Iodine Radioisotopes / Q000008:administration & dosage; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009377:Multiple Endocrine Neoplasia / Q000175:diagnosis / Q000235:genetics / Q000601:surgery; D037981:Neck Dissection; D009463:Neuroma / Q000175:diagnosis / Q000235:genetics / Q000601:surgery; D010673:Pheochromocytoma / Q000175:diagnosis / Q000235:genetics / Q000601:surgery; D011379:Prognosis; D011877:Radionuclide Imaging; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D013997:Time Factors
chemical_list: D007457:Iodine Radioisotopes