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Table 3 Treatment of patients

From: Treatment and outcome of 32 patients with distant metastases of Hürthle cell thyroid carcinoma: a single-institution experience

Patient number

Initial surgery

Residual tumor after surgery

RAI ablation of thyroid remnant

RAI uptake

RAI applications: ablation and therapy (Number)

RAI cumulative dose (mCi)

Neoadjuvant ChT

ChT

Preoperative EBRT (Dose in Gy)

EBRT - neck and mediastinum (Dose in Gy)

EBRT of metastases

Surgery for metastases or recurrence

1

TT

R0

No

-

0

-

No

No

No

No

No

No

2

LO

R1

Yes

No

1

129

No

No

No

Yes (50)

No

No

3

LO

R1

Yes

Yes

7

1066

No

No

No

Yes (50)

No

No

4

LO

R2

Yes

No

1

94

Yes

Yes

Yes (36)

Yes (36 + 15)

Ribs, thorax

No

5

TT

R1

Yes

Yes

4

500

Yes

Yes

No

Yes (56)

Lumbal vertebra, left hip and left pelvis

No

6

LO

R1

Yes

Yes

8

1201

Yes

Yes

No

No

Thoracic vertebra - rwice

No

7

PT

R0

Yes

No

2

250

No

Yes

No

No

Frontal part of skull, left orbita

Resection of right clavicle

8

TT + RND

R1

Yes

No

1

100

Yes

Yes

No

No

Lungs twice

No

9

TT

R0

Yes

No

1

94

No

No

No

No

No

No

10

TT + RND

R1

Yes

Yes

8

1355

Yes

Yes

No

Yes (50)

No

No

11

LO + RND

R1

Yes

Yes

8

1156

Yes

Yes

No

Yes (45)

Left hip twice, thorax, right hip, brain, right clavicle

No

12

TT

R1

Yes

Yes

9

1278

Yes

Yes

No

No

Thoracic vertebra, pelvis, cervical vertebra

Laminectomy

13

TT

R1

No

-

0

-

No

No

No

No

No

No

14

TT

R0

Yes

Yes

5

779

No

No

No

No

No

No

15

TT

R0

Yes

No

1

92

No

No

No

No

No

Left hip replacemnt

16

LO

R0

Yes

Yes

6

1090

No

No

No

No

No

Right nephrectomy

17

TT

R0

Yes

No

1

106

No

No

No

No

No

No

18

TT

R0

Yes

No

1

261

No

No

No

No

No

No

19

LO

R0

Yes

Yes

2

350

No

No

No

No

No

No

20

TT

R2

Yes

No

1

100

No

No

No

Yes (50)

No

Tracheal shaving of recurrence

21

PT

R2

Yes

Yes

2

230

No

No

No

No

No

No

22

TT

R0

Yes

Yes

2

300

No

No

No

No

Base of skull, lungs, right neck

No

23

TT + RND

R1

Yes

No

1

100

Yes

Yes

No

Yes (49)

Clavicle

No

24

PT

R1

Yes

Yes

9

1296

No

No

No

Yes (50)

No

No

25

TT

R0

Yes

No

2

244

No

No

No

No

No

No

26

TT

R0

Yes

Yes

3

382

No

No

No

No

No

No

27

TT + RND

R1

Yes

No

1

95

No

Yes

No

Yes (50)

Sternum, clavicle, right tibia

No

28

LO

R1

Yes

Yes

11

1523

No

Yes

No

Yes (50)

No

No

29

LO

R2

Yes

No

2

263

Yes

Yes

No

Yes (51)

Mediastinum, lungs

Tracheostomy, mRND

30

LO

R0

Yes

Yes

2

230

No

No

No

No

Mediastinum, lungs

Resection of lung metastasis and twice brain matastasis

31

TT

R0

Yes

Yes

3

393

No

No

No

No

No

Parotidectomy, mRND

32

TT

R0

Yes

No

1

95

No

Yes

No

No

Pelvis, left elbow, lumbar vertebra

6 x lung metastasis, 5 x bone metastasis, mediastinal lymph nodes, liver metastasis, axillary lymphadenectomy

  1. Legend: TT total or near total thyroidectomy, LO lobectomy, PT partial thyroidectomy, RND modified radical neck dissection, RAI radioiodine, ChT chemotherapy, EBRT external beam radiotherapy