Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma

Papillary thyroid carcinoma is the most common primary thyroid cancer. Most frequently treated with surgical resection, some cases require radioactive iodine (RAI) therapy. Studies have suggested that there is an increase in second primary malignancy after RAI therapy amongst thyroid cancer survivor...

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Main Authors: Arwa Alsaud, Shehab Mohamed, Mohamed A. Yassin, Amr Ashour, Khaldun Obeidat, Bahjat Azrieh
Format: Article
Language:English
Published: Karger Publishers 2020-03-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/505686
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author Arwa Alsaud
Shehab Mohamed
Mohamed A. Yassin
Amr Ashour
Khaldun Obeidat
Bahjat Azrieh
author_facet Arwa Alsaud
Shehab Mohamed
Mohamed A. Yassin
Amr Ashour
Khaldun Obeidat
Bahjat Azrieh
author_sort Arwa Alsaud
collection DOAJ
description Papillary thyroid carcinoma is the most common primary thyroid cancer. Most frequently treated with surgical resection, some cases require radioactive iodine (RAI) therapy. Studies have suggested that there is an increase in second primary malignancy after RAI therapy amongst thyroid cancer survivors including acute myeloid leukemia (AML) as an infrequent cancer related to RAI therapy; it has a higher relative risk ratio in patients on higher doses of radiation exposure. We would like to report a 30-year-old lady who was diagnosed with papillary thyroid carcinoma. She underwent total thyroidectomy and received a low-dose RAI 131I therapy at a dose of 150 mCi, after which she developed therapy-related AML. Here we would like to highlight the association of AML with low-dose RAI as an infrequent cause of a second primary tumor compared to high doses.
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spelling doaj.art-e5358dc091ed4846b838451bd7f24c1c2022-12-21T17:49:21ZengKarger PublishersCase Reports in Oncology1662-65752020-03-0113120721110.1159/000505686505686Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid CarcinomaArwa AlsaudShehab MohamedMohamed A. YassinAmr AshourKhaldun ObeidatBahjat AzriehPapillary thyroid carcinoma is the most common primary thyroid cancer. Most frequently treated with surgical resection, some cases require radioactive iodine (RAI) therapy. Studies have suggested that there is an increase in second primary malignancy after RAI therapy amongst thyroid cancer survivors including acute myeloid leukemia (AML) as an infrequent cancer related to RAI therapy; it has a higher relative risk ratio in patients on higher doses of radiation exposure. We would like to report a 30-year-old lady who was diagnosed with papillary thyroid carcinoma. She underwent total thyroidectomy and received a low-dose RAI 131I therapy at a dose of 150 mCi, after which she developed therapy-related AML. Here we would like to highlight the association of AML with low-dose RAI as an infrequent cause of a second primary tumor compared to high doses.https://www.karger.com/Article/FullText/505686leukemiaradioiodinethyroid cancer
spellingShingle Arwa Alsaud
Shehab Mohamed
Mohamed A. Yassin
Amr Ashour
Khaldun Obeidat
Bahjat Azrieh
Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma
Case Reports in Oncology
leukemia
radioiodine
thyroid cancer
title Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma
title_full Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma
title_fullStr Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma
title_full_unstemmed Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma
title_short Acute Myeloid Leukemia after Low-Dose Radioiodine Therapy for Papillary Thyroid Carcinoma
title_sort acute myeloid leukemia after low dose radioiodine therapy for papillary thyroid carcinoma
topic leukemia
radioiodine
thyroid cancer
url https://www.karger.com/Article/FullText/505686
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