Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy
A 62-year-old woman with metastatic papillary thyroid carcinoma in the sternum was successfully treated with percutaneous ethanol injection therapy (PET) when previous radioiodine therapy and external irradiation were ineffective. The patient tolerated the treatment well and the refractory pain in t...
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Veröffentlicht in: | Annals of nuclear medicine 1996-11, Vol.10 (4), p.441-444 |
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creator | Nakada, K Kasai, K Watanabe, Y Katoh, C Kanegae, K Tsukamoto, E Itoh, K Tamaki, N |
description | A 62-year-old woman with metastatic papillary thyroid carcinoma in the sternum was successfully treated with percutaneous ethanol injection therapy (PET) when previous radioiodine therapy and external irradiation were ineffective. The patient tolerated the treatment well and the refractory pain in the anterior chest wall that was alleviated with morphine prior to PEIT completely disappeared. No severe complications were observed. PEIT was performed 4 times (2 times with ultrasound guidance and 2 times with CT guidance). The posttreatment CT scan and 201Tl scintigraphy demonstrated significant decrease in the tumor volume. The serum thyroglobulin level fell to less than one-twentieth of the pretreatment value. It is suggested that PEIT has a value in treating bone metastasis from thyroid carcinoma which do not respond to radioiodine. |
doi_str_mv | 10.1007/bf03164808 |
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The patient tolerated the treatment well and the refractory pain in the anterior chest wall that was alleviated with morphine prior to PEIT completely disappeared. No severe complications were observed. PEIT was performed 4 times (2 times with ultrasound guidance and 2 times with CT guidance). The posttreatment CT scan and 201Tl scintigraphy demonstrated significant decrease in the tumor volume. The serum thyroglobulin level fell to less than one-twentieth of the pretreatment value. It is suggested that PEIT has a value in treating bone metastasis from thyroid carcinoma which do not respond to radioiodine.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/bf03164808</identifier><identifier>PMID: 9006732</identifier><language>eng</language><publisher>Japan</publisher><subject>Bone Neoplasms - drug therapy ; Bone Neoplasms - radiotherapy ; Bone Neoplasms - secondary ; Carcinoma, Papillary - drug therapy ; Carcinoma, Papillary - radiotherapy ; Carcinoma, Papillary - secondary ; Ethanol - administration & dosage ; Female ; Humans ; Injections ; Iodine Radioisotopes - therapeutic use ; Middle Aged ; Palliative Care ; Radionuclide Imaging ; Thallium Radioisotopes ; Thyroglobulin - blood ; Thyroid Neoplasms - diagnostic imaging ; Thyroid Neoplasms - drug therapy ; Thyroid Neoplasms - radiotherapy</subject><ispartof>Annals of nuclear medicine, 1996-11, Vol.10 (4), p.441-444</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c257t-bfe6a66159b05162407f4732d2637d42975437c4ca6ba676801afbd73da4c7503</citedby><cites>FETCH-LOGICAL-c257t-bfe6a66159b05162407f4732d2637d42975437c4ca6ba676801afbd73da4c7503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9006732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakada, K</creatorcontrib><creatorcontrib>Kasai, K</creatorcontrib><creatorcontrib>Watanabe, Y</creatorcontrib><creatorcontrib>Katoh, C</creatorcontrib><creatorcontrib>Kanegae, K</creatorcontrib><creatorcontrib>Tsukamoto, E</creatorcontrib><creatorcontrib>Itoh, K</creatorcontrib><creatorcontrib>Tamaki, N</creatorcontrib><title>Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><description>A 62-year-old woman with metastatic papillary thyroid carcinoma in the sternum was successfully treated with percutaneous ethanol injection therapy (PET) when previous radioiodine therapy and external irradiation were ineffective. The patient tolerated the treatment well and the refractory pain in the anterior chest wall that was alleviated with morphine prior to PEIT completely disappeared. No severe complications were observed. PEIT was performed 4 times (2 times with ultrasound guidance and 2 times with CT guidance). The posttreatment CT scan and 201Tl scintigraphy demonstrated significant decrease in the tumor volume. The serum thyroglobulin level fell to less than one-twentieth of the pretreatment value. It is suggested that PEIT has a value in treating bone metastasis from thyroid carcinoma which do not respond to radioiodine.</description><subject>Bone Neoplasms - drug therapy</subject><subject>Bone Neoplasms - radiotherapy</subject><subject>Bone Neoplasms - secondary</subject><subject>Carcinoma, Papillary - drug therapy</subject><subject>Carcinoma, Papillary - radiotherapy</subject><subject>Carcinoma, Papillary - secondary</subject><subject>Ethanol - administration & dosage</subject><subject>Female</subject><subject>Humans</subject><subject>Injections</subject><subject>Iodine Radioisotopes - therapeutic use</subject><subject>Middle Aged</subject><subject>Palliative Care</subject><subject>Radionuclide Imaging</subject><subject>Thallium Radioisotopes</subject><subject>Thyroglobulin - blood</subject><subject>Thyroid Neoplasms - diagnostic imaging</subject><subject>Thyroid Neoplasms - drug therapy</subject><subject>Thyroid Neoplasms - radiotherapy</subject><issn>0914-7187</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkb1P5DAQxS3ECRbuGnokVxRI4caxY2dLQHxJSNfs1dHEmbBGGzvYXtA297dfFhZapJGm-c2bN_MYOxFwIQDM77YHKbSqod5jM1FrVWgl5T6bwVyowojaHLKjlJ4ByrqqywN2MAfQRpYz9m8RCfNAPvPQ84idCy50zlPh6QmzeyXeBk98oIxpKpd4H8PARxzdaoVxw_NyE4PruMVonQ8D8jeXl3ykaNcZPYV14pSX6MOKO_9MNrvgpymKOG5-sh89rhL92vVj9vf2ZnF9Xzz-uXu4vnwsbFmZXLQ9adRaVPMWKqFLBaZXk_-u1NJ0qpybSkljlUXdoja6BoF92xnZobKmAnnMzj50xxhe1pRyM7hkabrg3WBjam1gkv0WLMW03sAWPP8AbQwpReqbMbphekgjoNmm0lzdfqYywac71XU7UPeF7mKQ_wHggomi</recordid><startdate>199611</startdate><enddate>199611</enddate><creator>Nakada, K</creator><creator>Kasai, K</creator><creator>Watanabe, Y</creator><creator>Katoh, C</creator><creator>Kanegae, K</creator><creator>Tsukamoto, E</creator><creator>Itoh, K</creator><creator>Tamaki, N</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199611</creationdate><title>Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy</title><author>Nakada, K ; Kasai, K ; Watanabe, Y ; Katoh, C ; Kanegae, K ; Tsukamoto, E ; Itoh, K ; Tamaki, N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c257t-bfe6a66159b05162407f4732d2637d42975437c4ca6ba676801afbd73da4c7503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Bone Neoplasms - drug therapy</topic><topic>Bone Neoplasms - radiotherapy</topic><topic>Bone Neoplasms - secondary</topic><topic>Carcinoma, Papillary - drug therapy</topic><topic>Carcinoma, Papillary - radiotherapy</topic><topic>Carcinoma, Papillary - secondary</topic><topic>Ethanol - administration & dosage</topic><topic>Female</topic><topic>Humans</topic><topic>Injections</topic><topic>Iodine Radioisotopes - therapeutic use</topic><topic>Middle Aged</topic><topic>Palliative Care</topic><topic>Radionuclide Imaging</topic><topic>Thallium Radioisotopes</topic><topic>Thyroglobulin - blood</topic><topic>Thyroid Neoplasms - diagnostic imaging</topic><topic>Thyroid Neoplasms - drug therapy</topic><topic>Thyroid Neoplasms - radiotherapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakada, K</creatorcontrib><creatorcontrib>Kasai, K</creatorcontrib><creatorcontrib>Watanabe, Y</creatorcontrib><creatorcontrib>Katoh, C</creatorcontrib><creatorcontrib>Kanegae, K</creatorcontrib><creatorcontrib>Tsukamoto, E</creatorcontrib><creatorcontrib>Itoh, K</creatorcontrib><creatorcontrib>Tamaki, N</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakada, K</au><au>Kasai, K</au><au>Watanabe, Y</au><au>Katoh, C</au><au>Kanegae, K</au><au>Tsukamoto, E</au><au>Itoh, K</au><au>Tamaki, N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy</atitle><jtitle>Annals of nuclear medicine</jtitle><addtitle>Ann Nucl Med</addtitle><date>1996-11</date><risdate>1996</risdate><volume>10</volume><issue>4</issue><spage>441</spage><epage>444</epage><pages>441-444</pages><issn>0914-7187</issn><eissn>1864-6433</eissn><abstract>A 62-year-old woman with metastatic papillary thyroid carcinoma in the sternum was successfully treated with percutaneous ethanol injection therapy (PET) when previous radioiodine therapy and external irradiation were ineffective. The patient tolerated the treatment well and the refractory pain in the anterior chest wall that was alleviated with morphine prior to PEIT completely disappeared. No severe complications were observed. PEIT was performed 4 times (2 times with ultrasound guidance and 2 times with CT guidance). The posttreatment CT scan and 201Tl scintigraphy demonstrated significant decrease in the tumor volume. The serum thyroglobulin level fell to less than one-twentieth of the pretreatment value. It is suggested that PEIT has a value in treating bone metastasis from thyroid carcinoma which do not respond to radioiodine.</abstract><cop>Japan</cop><pmid>9006732</pmid><doi>10.1007/bf03164808</doi><tpages>4</tpages></addata></record> |
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subjects | Bone Neoplasms - drug therapy Bone Neoplasms - radiotherapy Bone Neoplasms - secondary Carcinoma, Papillary - drug therapy Carcinoma, Papillary - radiotherapy Carcinoma, Papillary - secondary Ethanol - administration & dosage Female Humans Injections Iodine Radioisotopes - therapeutic use Middle Aged Palliative Care Radionuclide Imaging Thallium Radioisotopes Thyroglobulin - blood Thyroid Neoplasms - diagnostic imaging Thyroid Neoplasms - drug therapy Thyroid Neoplasms - radiotherapy |
title | Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy |
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