Surgical treatment of thyroid carcinoma

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Patient: Well, my wife (30 years old) had thyroid cancer (papillary) with lymph node metastasis, surgical resection of one side of the thyro

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Patient: Well, my wife (30 years old) had thyroid cancer (papillary) with lymph node metastasis, surgical resection of one side of the thyroid gland, and dissection of the lymph gland, about 4 years ago. After the transfer of internal radiation therapy in Wuhan Union Hospital, 3 years to do the 6 iodine 131 irradiation. After two times the effect is not obvious, the current daily take excellent music. Every 3-4 months without a full set of blood, the other is always in good numerical, TG 2.5ug/L (reference 1.4-78), my doctor about taking euthyrox during TG was cured in 1 the following, we feel that there has been no cure very worried, did not find out what PET is, a few days ago then the blood tests of TG rose to 3.9, neck MRI: multiple lymph node enlargement of cervical cancer cells, is not developed, and what method of treatment can be cured completely? Need a second operation? Anxious, looking forward to answer, thank you very much! The results I test FT3 5.9 reference value 3.5-6.5 FT4 21.49 11.5-22.7 TSH 0.106 reference value reference value 0.35-5.5 A-TG of nuclear medicine, Chen Libo: your doctor about taking euthyrox during TG was cured in 1 the following, I agree. But, due to you up to 6 times the iodine -131 thyroid ablation (thyroid ablation) and your current state of embarrassment (increased Tg level but negative radioiodine scan and PET scan) makes me very sad, in my experience, it can be attributed to too much in the residual thyroid (a case) directly for iodine -131 treatment without further surgical resection of residual thyroid. Therefore, in spend a lot the money, take a certain amount of iodine -131 treatment side effects and sacrifice the precious time but did not get the desired effect. Of course, in the preoperative or intraoperative frozen pathological diagnosis for thyroid cancer With lymph node metastasis of the general should be "a direct line of resection and lymph node dissection or ipsilateral total lobectomy and contralateral subtotal resection and lymph node dissection." I think you have to worry about no radical deep understanding, therefore, I think a few times the iodine -131 thyroid ablation review your experience, further guide the follow-up treatment. Please put all the discharge summary, blood test report and image data (especially iodine after treatment of -131 scan image). I bring outpatient clinic time for all day long Tuesday and Thursday afternoon.

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