|
|
|
| Diagnostic analysis of radiational thyroid disease |
| LIU Libo, CHEN Qiang |
| School of Public Health Jilin University, NHC Key Laboratory of Radiobiology, Changchun 130021 China |
|
|
|
|
Abstract Radiational thyroid disease is referred to the primary or secondary thyroid function and/or organic changes caused by internal and/or external irradiation of ionizing radiation on the thyroid and/or other tissues of the body. These include acute radiation thyroiditis, chronic radiation thyroiditis, radiation hypothyroidism, radiation benign thyroid nodules and radiation thyroid cancer. Radiation thyroid diseases mainly occur in accidental irradiation, medical irradiation and occupational irradiation. In order to understand the radiational thyroid disease and its correct diagnosis and treatment, we analyzed the pathogenesis, clinical manifestations, accessory examination, diagnosis, differential diagnosis, treatment and prognosis of radiational thyroid diseases.
|
|
Received: 11 July 2019
|
|
|
|
|
|
[1] Kaplan MM, Garnick MB, Gelber R, et al. Risk factors for thyroid abnormalities after neck irradiation for childhood cancer[J]. Am J Med, 1983, 74(2):272-280.
[2] Hancock SL, McDougall IR, Constine LS. Thyroid abnormalities after therapeutic external radiation[J]. Int J Radiat Oncol Biol Phys, 1995, 31(5):1165-1170.
[3] Constine LS, Donaldson SS, McDougall IR, et al. Thyroid dysfunction after radiotherapy in children with Hodgkin's disease[J]. Cancer, 1984, 53(4):878-883.
[4] 申文江,王绿化.放射治疗损伤[M].北京:中国医药科技出版社,2001:76.
[5] 李红梅.肿瘤放疗对甲状腺功能损伤的研究[D].泰安:泰山医学院,2014.
[6] 龚守良.医学放射生物学[M].北京:原子能出版社,2015.
[7] 马瑜瑾,逮海波,袁园,等.131I治疗甲状腺功能亢进致急性放射性甲状腺炎并甲亢危象1例[C]/中华医学会第十二次全国内分泌学学术会议论文汇编2013.
[8] 方毅,邢家骝,龙亚红.重症甲亢患者在放射碘-131治疗后甲状腺功能的早期变化[C]/中华医学会第十二次全国内分泌学学术会议论文汇编2013.
[9] 姜恩海,龚守良,曹永珍,等.电离辐射损伤与临床诊治[M].北京:人民军医出版社,2015.
[10] 将宁一,黄刚,林岩松,等.131I治疗格雷夫斯甲亢指南[J].中华内分泌代谢杂志,2013,29(6):448-460.
[11] Chen D Y,Schneider P F,Zhang X S,et al.Striving for euthyroidism in radioiodine therapy of Graves'disease:a 12-year prospective,randomized,open-label blinded end point study[J].Thyroid,2011,21(6):647-654. |
|
|
|
