THERAPEUTIC EFFICIENCY OF AUTONOMOUS NODULE OF THE THYROID AND TOXIC MULTINODULAR GOITER WITH I-131 - ABOUT 59 CASES

Our study dealt with 81 patients treated by iodine 131 for autonomous goiter. We have followed 59 patients during about a year. The global t herapeutic efficiency is of 73% and the risk of hypothyroidism is very weak. The administration of a high activity (> 15 mCi) of iodine allo ws to get a faster recovery, a better therapeutic efficiency and permi ts to reduce the number of cures (therefore, to reduce the irradiation of the patient), nevertheless, the risk of hypothyroidism is very sli ght. The advantages of metabolic radiotherapy (low cost, facility of a dministration, efficiency) make it preferable to surgery, above all wi th patients that are more than 40 years old, for whom the radiation ri sk is practically null (hereditary diseases, cancer).