Follicular thyroid cancer medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

Medical Therapy

Thyroid Hormone Replacement

  • Thyroxine is recommended as a replacement therapy for all patients with follicular thyroid cancer especially for micronodular pulmonary metastases.[1]

Radioactive Iodine Therapy

  • Radio active iodine ablation therapy may be used to prevent the recurrence of cancer.
  • High doses of radioiodine is also used to treat microscopic bone metastasis

Targeted Therapy

Kinase Inhibitors

  • Sorafenib
  • Lenvatinib

Radiation Therapy

  • External radiation therapy is used for bone pain in bone metastasis.

Other Treatment Options

  • Intravenous infusions of bisphosphonate is also used to reduce pain in bone metastasis.
  • Corticosteroid therapy is recommended for cerebral edema secondary to brain metastasis.
  1. McHenry, C. R.; Phitayakorn, R. (2011). "Follicular Adenoma and Carcinoma of the Thyroid Gland". The Oncologist. 16 (5): 585–593. doi:10.1634/theoncologist.2010-0405. ISSN 1083-7159.