INDICATIONS FOR EXTERNAL RADIOTHERAPY IN THE MANAGEMENT OF THYROID-CANCER - FREIBURG CONSENSUS

At the University of Freiburg, a consensus was arrived at concerning t he place of external radiotherapy in the management of thyroid cancer. External irradiation is always indicated in papillary and folliculary carcinoma in the pT4 stage of pTNM classification but not in those in pT1-3 pNO stage. In the presence of lymph-node metastases and distant metastases, an individual treatment concept is recommended, which sho uld be set up in an interdisciplinary conference regarding all risk fa ctors, especially the age and sex of the patient, the histology and gr ading of the tumor and the completeness of tumor resection. Finally, r adio-therapy is usually not indicated in medullary thyroid carcinoma, whereas it is always indicated in anaplastic carcinoma.