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
Hauptverfasser: Nakada, K, Kasai, K, Watanabe, Y, Katoh, C, Kanegae, K, Tsukamoto, E, Itoh, K, Tamaki, N
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container_end_page 444
container_issue 4
container_start_page 441
container_title Annals of nuclear medicine
container_volume 10
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. 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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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