Follicular thyroid cancer medical therapy

Follicular thyroid cancer Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

Pharmacologic medical therapies for follicular thyroid cancer include radioactive iodine therapy and targeted medical therapy.

Medical Therapy

Thyroid Hormone Replacement

• Thyroxine is recommended as a replacement therapy for all patients with follicular thyroid cancer especially for micronodular pulmonary metastases.

Radioactive Iodine Therapy

• Radio active iodine ablation therapy may be used to prevent the recurrence of cancer.
• High doses of radioiodine is also used to treat microscopic bone metastasis

Targeted Therapy

Kinase Inhibitors

• Sorafenib
• Lenvatinib

Radiation Therapy

• External radiation therapy is used for bone pain in bone metastasis.

Other Treatment Options

• Intravenous infusions of bisphosphonate is also used to reduce pain in bone metastasis.
• Corticosteroid therapy is recommended for cerebral edema secondary to brain metastasis.