Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26649243
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Adv+Pract+Oncol
2015 ; 6
(2
): 99-106
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Thyroid Disorders in the Oncology Patient
#MMPMID26649243
Hartmann K
J Adv Pract Oncol
2015[Mar]; 6
(2
): 99-106
PMID26649243
show ga
Thyroid disease and cancer diagnoses are common conditions likely to coexist.
Optimal management requires appropriate diagnostic testing and consideration of a
number of factors, including overall health status and prognosis. Hypothyroidism
and hyperthyroidism can lead to a number of symptoms that may affect not only
quality of life but can interfere with the patient's ability to tolerate cancer
treatment. Imaging studies performed for cancer staging can identify incidental
structural abnormalities in the thyroid, which should be assessed with dedicated
neck ultrasonography and possibly fine-needle aspiration. Incidental thyroid
cancer is most often less urgent than the patient's presenting malignancy and can
be addressed surgically when appropriate in the context of other treatments
(i.e., chemotherapy). Providers working in an oncology setting, as well as
primary care providers, should be aware of medications that are associated with
hormonal abnormalities. Any patient with a history of neck or brain radiation
therapy is at risk of developing hypothyroidism and possibly other
endocrinopathies. Complex or very ill patients may benefit from a
multidisciplinary approach that utilizes the experience of a knowledgeable
endocrinologist.
free
free
free
