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Erschienen in: Journal of Endocrinological Investigation 3/2021

01.03.2021 | Short Review

Skeletal health in patients with differentiated thyroid carcinoma

verfasst von: M. Cellini, M. Rotondi, M. L. Tanda, E. Piantanida, L. Chiovato, P. Beck-Peccoz, Andrea Lania, G. Mazziotti

Erschienen in: Journal of Endocrinological Investigation | Ausgabe 3/2021

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Abstract

Osteoporosis and fractures are important comorbidities in patients with differentiated thyroid cancer (DTC), with potential negative impact on quality of life and survival. The main determinant of skeletal fragility in DTC is the thyrotropin (TSH)-suppressive therapy, which is commonly recommended to prevent disease’s recurrence, especially in patients with structural incomplete response after thyroid surgery and radio-iodine therapy. TSH-suppressive therapy can stimulate bone resorption with consequent bone loss, deterioration of bone microstructure and high risk of fragility fractures. The skeletal effects of TSH-suppressive therapy may be amplified when thyroid cancer cells localize to the skeleton inducing alterations in bone remodelling, impairment of bone structure and further increase in risk of fractures. The management of skeletal fragility in DTC may be challenging, since prediction of fractures is a matter of uncertainty and data on effectiveness and safety of bone-active agents in this clinical setting are still scanty. This review deals with pathophysiological, clinical and therapeutic aspects of skeletal fragility of patients with DTC.
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Metadaten
Titel
Skeletal health in patients with differentiated thyroid carcinoma
verfasst von
M. Cellini
M. Rotondi
M. L. Tanda
E. Piantanida
L. Chiovato
P. Beck-Peccoz
Andrea Lania
G. Mazziotti
Publikationsdatum
01.03.2021
Verlag
Springer International Publishing
Erschienen in
Journal of Endocrinological Investigation / Ausgabe 3/2021
Elektronische ISSN: 1720-8386
DOI
https://doi.org/10.1007/s40618-020-01359-6

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