Reply: Long-term Follow-up of Patients with Metastatic Differentiated Thyroid Carcinoma

Bertagna and Giubbini commented on their longer survival(10-year survival of 72%) of their 32 patients with well-differentiated thyroid cancer with bone spread [1] (proba-bly some with lung and/or lymph nodes spread) comparedwith our report of 34% [2]. Our low survival belonged to aspecific bone spread, i.e., those presenting with patholog-ical fracture. In contrast, distant metastases, excludingaerodigestive tract or pathological bone fractures, showed amuch higher survival.References