سرطان الغدة الدرقية الجريبي بعد استئصال الدرق: ماذا تفعل عندما لا تتحقق الاستجابة الممتازة

References

1. As shown in Figure 2, practice guidelines unanimously recommend treatment with high RAI activities for patients with high risk of recurrence [IV, A].
2. Low activities are usually given for remnant ablation; high activities are used for treatment purposes.
3. RAI therapy may be considered in intermediate-risk patients (rhTSH administration or levothyroxine withdrawal) [IV, B]; decisions on RAI dosage and TSH stimulation modalities are based on case features.
4. To optimise isotope uptake, RAI should be given after thyroid-stimulating hormone (TSH) stimulation, which can be achieved by withdrawing levothyroxine for 4–5 weeks, ideally until serum TSH levels reach 30 mIU/ml.