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Læknablaðið - 15.01.1995, Page 47

Læknablaðið - 15.01.1995, Page 47
LÆKNABLAÐIÐ 1995; 81 37 Table I. An overview of 468 hyperthyroid patients who had 1311 treatment during 1973-1991. Year(s) 73-74 75-76 77-78 79-80 81-82 83-84 85-86 87-88 89-90 91* No of patients 19 20 33 35 40 64 69 67 71 50 Hot nodule 0 2 0 1 3 5 12 5 7 5 Repeated treat- ment % 15.8 25 24.2 28.6 15 6.2 14.5 22.4 19.7 24 *Jan-Oct Table II. An overview of 422 paiients with Graves' disease who Itad 1311 treatment during 1973-1991. Year(s) 73-74 75-76 77-78 79-80 81-82 83-84 85-86 87-88 89-90 91* Mean age 55 54 43 46 47 51 49 48 51 52 Standard dev. ±14 ±12 ±14 ±14 ±13 ±16 ±14 ±12 ±13 ±19 Mean dose(mCi) 5.4 5.1 4.4 6.6 5.7 5.9 5.3 5.3 4.8 5.7 Standard dev. ±1.4 ±1.8 ±1.4 ±2.7 ±1.8 ±2.4 ±1.7 ±1.2 ±1.7 ±2.3 Mean weight of gland by palpation 38 34 32 48 39 39 35 33 31 33 Standard dev. ±16 ±13 ±15 ±27 ±19 ±22 ±13 ±9 ±12 ±10 Mean iodine upt, 4h/24h 47/62 42/60 56/66 53/63 47/60 40/58 49/61 46/60 44/56 44/60 Standard dev. ±15/12 ±16/11 ±17/11 ±21/13 ±20/18 ±17/14 ±21/16 ±19/13 ±18/16 ±22/17 *Jan-Oct Table III. Some means and standard deviations for four groups ofpatients before treatment; I) Graves'disease (GD) patients, one treatment, 11) GD patients, more than one treatment, III) toxic adenoma, one treatment, IV) toxic multinodular glands. No. of patients Age Weight of gland Dosis mCi Dosis uptake uCi/g 4h uptake 24h uptake 4/24 uptake I) 342 51 34 5.4 92.5 44 59 0.73 ±14 ±16 ±2 ±21.4 ±18 ±14 ±0.24 II) 80 **46 **39 5.5 92.2 ***59 ***66 ***0.87 ±15 ±16 ±1.8 ±17.2 ±19 ±13 ±0.22 III) 35 **58 ***25 5.9 90.8 ***30 ***43 ***0.68 ±16 ±10 ±3.2 ±23 ±17 ±16 ±0.37 IV)# 4 71 119 7.3 98.7 21 34 0.58 ±13 ±157 ±1.6 ±23.4 ±12 ±12 ±0.13 * p<0.05 **p<0.01; ***p<0.001; when compared to I). # Not compared because of few patients. Table IV. Mean specific 24 hour1311 uptake (l3,Iper unit weight ofthyroid tissue), doses of radioactivity taken up per gram of tissue 4 hour1311 uptake and hypo- and hyperthyroidism after treatment related to the total weight ofthe thyroid gland at treatment in patients with Graves' disease (mean standard dev.). Weight of thyroid (grams) n 1311 uptake %/gram of tissue (24h) 131l dose uptake uCi/g 4 hour 1311 uptake, whole gland Post-treatment % hypo- thyroid % hyper- thyroid 10-19 16 3.6±1.4 135±39 36±14 80 (5)* 12 20-29 124 2.3±2.3 97±21 37±16 71 (85) 12 30-39 144 1.9±0.4 91 ±13 48±18 72 (107) 17 40-49 91 1.6±0.3 90±16 53 ±20 59 (37) 27 50-59 28 1.2±0.3 78±16 52 ±22 65 (17) 32 60-69 17 1.1 ±0.3 84±19 64±19 31 (13) 35 & 70 16 0.8±0.2 81 ±16 68±12 50 (6) 19 ‘Number of patients studied for hypothyroidism.
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