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Various aspects of radioiodine (131I) treatment have almost
exhaustively been dealt with in recent reviews14. Despite being in use for more than
50 years, initially for hyperthyroidism and shortly thereafter for thyroid carcinoma, and
an overwhelming number of publications, it is surprising that so many fundamental
questions remain unanswered (15).
While much information is available with regard to 131I-treatment of
toxic goitre (mainly Graves disease), this review will highlight present knowledge
of 131I-treatment also in benign non-toxic goitre and focus on aspects needing further
research. Recently, the cancer risk after diagnostic and therapeutic use of 131I in
thyroid disorders has thoroughly been reviewed in e.g. Thyroid International6. Present
knowledge indicates that the marginally increased mortality among hyperthyroid patients
the first year after diagnosis is not related to the 131I-therapy but the underlying
disease5,6. Consequently, the main focus of this review will be on other aspects of
131I-treatment in benign thyroid disorders. Indications and contraindications for
131I-therapy are listed in Table 1 and 2, respectively.
Table 1: Indications for radioiodine treatment in benign thyroid disease
- Toxic diffuse goitre (Graves or Basedows disease)
- Toxic multinodular goitre (Plummers disease)
- Toxic uninodular goitre
- Non-toxic diffuse goitre
- Non-toxic multinodular goitre
- Non-toxic uninodular goitre (autonomous nodule/hot nodule)
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