Efficiency of radioactive I-131 therapy in geriatric patients with toxic nodular goiter.

Abstract:

BACKGROUND AND AIMS:The success of I-131 therapy in geriatric patients who were referred to an endocrinology clinic with toxic nodular goiter and who lived in iodine-deficiency regions was studied. MATERIALS AND METHODS:Patients older than 60 years who received I-131 therapy were included via retrospective data analyses. Fifty-nine patients between 60 and 82 years of age were enrolled in the study. The patients received an oral capsular form of I-131 (10-25 mCi) and were followed up for 1 year with clinical and laboratory results. Euthyroid or hypothyroid status at the end of the year after treatment was deemed to be a response to treatment. RESULTS:Of the 21 (36%) male and 38 (64%) female patients, 29 (49%) had a solitary toxic nodule and 30 (51%) had toxic multinodular goiter. Twenty-nine (49%) of the patients received propylthiouracil therapy. At the end of the year, 38 (64%) patients were euthyroid, 11 (19%) were hypothyroid, and 10 (17%) were thyrotoxic. Forty-nine (83%) patients who were euthyroid and hypothyroid were considered responders. CONCLUSION:Geriatric patients with toxic nodular goiter were shown to have a high response rate to I-131 therapy. Thus, we suggest that radioactive iodine treatment should be the first-line treatment in these patients.

journal_name

Aging Clin Exp Res

authors

Erkan ME,Demirin H,Aşik M,Celbek G,Yildirim M,Aydin Y,Güngör A,Doğan AS

doi

10.3275/8759

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

714-7

issue

6

eissn

1594-0667

issn

1720-8319

pii

8759

journal_volume

24

pub_type

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