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放射性碘(I131)治疗甲状腺癌导致的性腺损伤。

Gonadal damage due to radioactive iodine (I131) treatment for thyroid carcinoma.

作者信息

Ahmed S R, Shalet S M

出版信息

Postgrad Med J. 1985 Apr;61(714):361-2. doi: 10.1136/pgmj.61.714.361.

Abstract

Papillary carcinoma of the thyroid is the most common type of thyroid cancer and is associated with a good prognosis. Complications of treatment with surgery and radioiodine are uncommon. We report the case of a 13 year old boy who developed testicular damage following treatment with radioactive iodine 350 mCi for a papillary carcinoma of the thyroid. Four years after radioiodine treatment there has been no suggestion of recovery of spermatogenesis. Detailed follow-up studies of similarly treated young patients are required to define the incidence of this complication and to determine its reversibility.

摘要

甲状腺乳头状癌是最常见的甲状腺癌类型,预后良好。手术和放射性碘治疗的并发症并不常见。我们报告了一名13岁男孩的病例,他在接受350毫居里放射性碘治疗甲状腺乳头状癌后出现了睾丸损伤。放射性碘治疗四年后,仍没有精子发生恢复的迹象。需要对接受类似治疗的年轻患者进行详细的随访研究,以确定这种并发症的发生率并确定其可逆性。

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1
The distribution of I131 in tissue obtained at necropsy or at surgical operation in man.
J Clin Endocrinol Metab. 1951 Aug;11(8):843-56. doi: 10.1210/jcem-11-8-843.
2
131I therapy in differentiated thyroid carcinoma: M. D. Anderson Hospital experience.分化型甲状腺癌的131I治疗:MD安德森医院的经验
Cancer. 1981 Feb 15;47(4):664-71. doi: 10.1002/1097-0142(19810215)47:4<664::aid-cncr2820470408>3.0.co;2-#.
8
The effects of gonadal irradiation in clinical radiation therapy: a review.
Cancer. 1976 Feb;37(2 Suppl):1111-25. doi: 10.1002/1097-0142(197602)37:2+<1111::aid-cncr2820370821>3.0.co;2-e.

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