Controversies, Consensus and Collaboration in the Use of I-131 Therapy in Differentiated Thyroid Cancer.

CONCLUSION: By fostering an open, productive, evidence-based discussion, the Martinique meeting restored trust, confidence and a sense of collegiality between individuals and organizations that are committed to optimal thyroid disease management. The result of this first meeting is a set of nine principles (The Martinique Principles) that 1) describe a commitment to proactive, purposeful and inclusive inter-disciplinary cooperation, 2) define the goals of radioiodine therapy as either remnant ablation, adjuvant treatment or treatment of known disease, 3) describe the importance of evaluating post-operative disease status and multiple other factors beyond clinico-pathological staging in radioiodine therapy decision making, 4) recognize that the optimal administered activity of I-131 adjuvant treatment cannot be definitely determined from the published literature, and 5) acknowledge that current definitions of radioiodine refractory disease are suboptimal and do not represent definitive criteria to mandate whether or not I-131 therapy should be recommended. PMID: 30900516 [PubMed - as supplied by publisher]
Source: Thyroid : official journal of the American Thyroid Association - Category: Endocrinology Tags: Thyroid Source Type: research