Referral Practice for Radio-active iodine Ablation in a Tertiary Cancer Care centre
Thyroid World Congress ePoster Library. Thiagarajan S. 06/22/19; 272051; 135
Dr. Shivakumar Thiagarajan
Dr. Shivakumar Thiagarajan
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Abstract
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Background:

Prognosticators in Differentiated Thyroid Cancer have evolved over the last decade and they influence the decision for Radio-active Iodine (RAI) ablation. Referral practice for RIA after Total Thyroidectomy for DTC   varies among clinicians. The 2015 ATA guidelines proposed a new risk stratification system and have modified the indications for RAI ablation.  We in this article have assessed the current referral practice for RIA being followed at our institute

Methods:

Patients who underwent total or completion thyroidectomy for DTC at our center for years 2016-17 were included. Relevant demographical, clinical and pathological data was tabulated. Patients were classified as per the new stratification system and referral practice for RIA ablation documented.

Results:

Out of 572 DTC patients operated in the specified time period, 280 satisfied the eligibility criteria. As per the risk stratification 22.8% had low risk disease, 41.1 % had intermediate and 36.1 % were high risk as per ATA 2015 stratification. All patients with intermediate and high-risk group were referred for RIA ablation.iscussions:

Discussions:

Majority of the patients belonging to low risk disease (74%) were referred for RIA ablation. In the low risk group the most common causes  of referral  was pT3 stage (>4 cm, even in absence of ETE) and even single node positive with or without  ECS.

Conclusion:

Significant number of low risk patients continue to be referred for RIA ablation, most common cause being p T3 lesion (in view of size) .The risks and benefits of this referral practice needs to be weighed carefully .


Background:

Prognosticators in Differentiated Thyroid Cancer have evolved over the last decade and they influence the decision for Radio-active Iodine (RAI) ablation. Referral practice for RIA after Total Thyroidectomy for DTC   varies among clinicians. The 2015 ATA guidelines proposed a new risk stratification system and have modified the indications for RAI ablation.  We in this article have assessed the current referral practice for RIA being followed at our institute

Methods:

Patients who underwent total or completion thyroidectomy for DTC at our center for years 2016-17 were included. Relevant demographical, clinical and pathological data was tabulated. Patients were classified as per the new stratification system and referral practice for RIA ablation documented.

Results:

Out of 572 DTC patients operated in the specified time period, 280 satisfied the eligibility criteria. As per the risk stratification 22.8% had low risk disease, 41.1 % had intermediate and 36.1 % were high risk as per ATA 2015 stratification. All patients with intermediate and high-risk group were referred for RIA ablation.iscussions:

Discussions:

Majority of the patients belonging to low risk disease (74%) were referred for RIA ablation. In the low risk group the most common causes  of referral  was pT3 stage (>4 cm, even in absence of ETE) and even single node positive with or without  ECS.

Conclusion:

Significant number of low risk patients continue to be referred for RIA ablation, most common cause being p T3 lesion (in view of size) .The risks and benefits of this referral practice needs to be weighed carefully .


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