Salivary side effects after radioiodine treatment for differentiated papillary thyroid carcinoma: Long-term study

Head Neck. 2020 Nov;42(11):3133-3140. doi: 10.1002/hed.26359. Epub 2020 Jul 11.

Abstract

Background: Although many studies focus on short-term side effects of radioiodine therapy, almost none studied long-term side effects. We assessed radioiodine long-term salivary side effects after radioiodine treatment for differentiated papillary thyroid carcinoma and compared it to short-term morbidity within the same population.

Methods: A standardized self-administrated questionnaire was submitted in 2019 by patients treated with radioiodine between January 2011 and December 2012. These patients had already answered the same questionnaire 6 years before.

Results: Our study showed a significant reduction for salivary side effects: discomfort in submandibular or parotid area, swelling, pain, a bad or salty taste in the mouth, allowing to get back to a "normal" diet.

Conclusions: Our study suggests that a significant rate of patients will recover from I131 therapy salivary side effects. As almost 30% of these remissions happened during our late stage follow-up, we highlight the necessity of a long-term follow-up in these patients.

Keywords: radioiodine therapy; salivary glands; sialadenitis; thyroid cancer; xerostomia.

MeSH terms

  • Humans
  • Iodine Radioisotopes / adverse effects
  • Salivary Glands
  • Thyroid Cancer, Papillary
  • Thyroid Neoplasms* / radiotherapy
  • Xerostomia*

Substances

  • Iodine Radioisotopes