سرطان الغدة الدرقية النخاعي: إدارة الخط التالي عندما لم يُحقق استئصال الغدة الدرقية الشفاء الكيميائي الحيوي

References

DOI: 10.1089/thy.2014.0335

• In the presence of extensive regional or metastatic disease less aggressive surgery in the central and lateral neck may be appropriate to preserve speech, swallowing, parathyroid function, and shoulder mobility.
• External beam radiotherapy (EBRT), systemic medical therapy, and other nonsurgical therapies should be considered to achieve local tumor control.
• Postoperative adjuvant EBRT to the neck and mediastinum should be considered in patients at high risk for local recurrence (microscopic or macroscopic residual MTC, extrathyroidal extension, or extensive lymph node metastases), and those at risk of airway obstruction.
• The typical postoperative dose, 60–66 Gy, delivered to the thyroid bed over 6 weeks using 4–6 MV photons, should eradicate microscopic disease.