Conclusion:
Metastasectomy in differentiated thyroid cancer with distant metastases
is feasible in selected patients and surgical interventions are most
commonly performed on the spine to prevent neurological complications.
RAI ablation is universally administered in this subset of patients and
in very high doses, often distributed in multiple sessions. The Role of
chemotherapy and tyrosine kinase inhibitor is still restricted to
palliative settings and cost constraints remain a detriment to more
widespread use.