title: Therapy for advanced thyroid cancer: treatment of a high risk case.
abstract: The treatment of a high risk case of an advanced thyroid cancer is reported. The patient had a thyroid cancer with metastatic lesions of the frontal bone, left temporal bone, left sacroiliac joint, lytic destruction of C6 and lytic lesion of C7. A pre-operative immobilization of the cervical spine was performed by a halo cast set on a corset of gypsum. After this, the patient underwent a thyroidectomy and, at the same time, a metallic plate was applied to immobilize C5-C7. A month after he underwent reoperative surgery to stabilize definitively the cervical spine. Subsequently he was treated by TCT and 131I subdivided in several cycles. The latest total body scan demonstrated a complete regression of secondary lesions.
authors.affiliation: Istituto di Patologia Speciale Chirurgica e Propedeutica Clinica, Università Cattolica del Sacro Cuore, Roma.
authors.forename: F
authors.initials: F
authors.lastname: Ceriati
authors.forename: C
authors.initials: C
authors.lastname: Cavicchioni
authors.forename: C
authors.initials: C
authors.lastname: Logroscino
authors.forename: G
authors.initials: G
authors.lastname: Pastore
authors.forename: P
authors.initials: P
authors.lastname: Montemaggi
authors.forename: A
authors.initials: A
authors.lastname: Fabiano
authors.forename: M
authors.initials: M
authors.lastname: Mantovani
authors.forename: I R
authors.initials: IR
authors.lastname: Marino
authors.forename: G
authors.initials: G
authors.lastname: Ardito
authors.forename: G
authors.initials: G
authors.lastname: De Luca
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000532:radiotherapy* / Q000556:secondary; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D012888:Skull Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary*; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary*; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy* / Q000601:surgery; D013965:Thyroidectomy