Do you prefer rhTSH for TSH stimulation instead of thyroid hormone withdrawal when treating patients with radioactive iodine for papillary thyroid carcinoma?
If not, what is your thyroid hormone withdrawal protocol? If so, would you still treat a patient with possibly metastatic disease?
Answer from: Radiation Oncologist at Academic Institution
There are no long-term level 1 evidences to guide the decision between rhTSH stimulation and TSH withdrawal in preparation of radio-iodine ablation. Two largest randomized studies (Strategies of radioiodine ablation in patients with low-risk thyroid cancer.N Engl J Med. 2012 May; 366(18):1663-73. Ab...
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