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Supraclavicular lymph node irradiation can reduce thyroid gland size.

Women's Health Weekly

| January 01, 2004 | COPYRIGHT 2004 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2004 JAN 1 - (NewsRx.com & NewsRx.net) -- Routine en face treatment of the supraclavicular lymph nodes, using the Hockey Stick method, should be reconsidered, researchers say.

According to recent research published in the Yonsei Medical Journal, "To identify the effect of postoperative irradiation to the thyroid gland in patients with breast carcinoma, 77 patients with partial or total mastectomized breast carcinoma who received routine irradiation therapy (Hockey stick method: supraclavicular, internal mammary lymph nodes, and chest wall irradiation with 5,040 rads, divided into 30 treatments) were reviewed in terms of their ipsilateral thyroid gland response.

"All patients had the bilateral thyroid sizes measured annually by ultrasonography before and after radiation therapy. In the one-year follow-up group (n=77), 32 patients (41.5%) demonstrated decreased ipsilateral thyroid gland size after Hockey Stick irradiation therapy (p = .428), in the 2-year follow-up group (n=37), 26 patients (70.3%) demonstrated decreased gland size after Hockey Stick irradiation (p=.001), and in the 3-year follow-up group (n=21), 15 patients (71.4%) showed a decreased thyroid gland size (p=.005)," wrote W.G. Ryu and colleagues, Yonsei ...

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