Reinhardt M, Guttenberger R, Slanina J, Frommhold H, Moser E
Abteilung Nuklearmedizin, Radiologischen Universitätsklinik, Freiburg.
Radiologe. 1995 Aug;35(8):535-9.
At the University of Freiburg, a consensus was arrived at concerning the place of external radiotherapy in the management of thyroid cancer. External irradiation is always indicated in papillary and folliculary carcinoma in the pT4 stage of pTNM classification but not in those in pT1-3 pN0 stage. In the presence of lymph-node metastases and distant metastases, an individual treatment concept is recommended, which should be set up in an interdisciplinary conference regarding all risk factors, especially the age and sex of the patient, the histology and grading of the tumor and the completeness of tumor resection. Finally, radiotherapy is usually not indicated in medullary thyroid carcinoma, whereas it is always indicated in anaplastic carcinoma.
在弗莱堡大学，就外照射放疗在甲状腺癌治疗中的地位达成了共识。对于pTNM分期为pT4期的乳头状癌和滤泡状癌，总是需要进行外照射放疗，但pT1 - 3 pN0期的则不需要。存在淋巴结转移和远处转移时，建议制定个体化的治疗方案，该方案应在跨学科会议上根据所有风险因素制定，尤其是患者的年龄和性别、肿瘤的组织学和分级以及肿瘤切除的完整性。最后，髓样甲状腺癌通常不需要放疗，而未分化癌则总是需要放疗。
