title: Challenging cases in thyroid cancer: a multidisciplinary approach.
abstract: Recurrent thyroid cancer can present many complex management problems. Unfortunately, recurrent thyroid cancer is often refractory to radioiodine therapy. The proper use of external beam irradiation and surgical interventions can provide regional control of localized recurrences. Because of the complex nature of these patients, a multidisciplinary team approach to management which includes specialists in thyroid medicine and surgery, head and neck radiotherapy, and nuclear medicine often is required to provide individualized, optimal multimodality treatment recommendations. In this article we review a multidisciplinary team approach to a patient with widespread, radioiodine-refractory bone metastases from follicular thyroid cancer and to a patient with unresectable central neck recurrence of papillary thyroid cancer.
authors.affiliation: Endocrine Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA. tuttlem@mskcc.org
authors.forename: Michael
authors.initials: M
authors.lastname: Tuttle
authors.forename: Richard
authors.initials: R
authors.lastname: Robbins
authors.forename: Steven M
authors.initials: SM
authors.lastname: Larson
authors.forename: H William
authors.initials: HW
authors.lastname: Strauss
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000532:radiotherapy* / Q000556:secondary / Q000628:therapy; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000532:radiotherapy* / Q000628:therapy; D010346:Patient Care Management / Q000379:methods; D010348:Patient Care Team; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000532:radiotherapy* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals