Patient: description of the disease (time of onset, the main symptoms, hospital etc.): in March 11 found the neck, breath hold, to Harbin in
Patient: description of the disease (time of onset, the main symptoms, hospital etc.): in March 11 found the neck, breath hold, to Harbin in April 15th for cancer hospital left thyroid lobectomy, right lobe resection, buccal resection, pathological diagnosis is out of follicular carcinoma, pathology is not done no, this service should transfer found iodine?
Patient: new data upload
Department of nuclear medicine, Shanghai No.6 People's Hospital, Chen Libo:
Due to limited information, I can only make a preliminary judgment as follows:
Diagnosis of thyroid follicular carcinoma
Treatment: taking into account the tumor is larger (more than 4 cm in diameter), and the pathologic types of follicular carcinoma, I think you need some iodine -131 ablation, so as to achieve the following three objectives: 1 to eliminate possible hidden cancer and metastatic foci, reduce the risk of recurrence and metastasis in the future; 2 after removal of residual thyroid serum thyroglobulin (Tg) will become a reliable tumor marker for subsequent disease follow-up; 3 iodine -131 after ablation will scan to investigate the iodine -131 distribution in vivo, we can find the metastasis of thyroid carcinoma, so as to carry out accurate staging and objectively assess the prognosis of the disease. In the past clinical work, we often encounter patients with thyroid cancer without recurrence or metastasis after -131 ablation. For patients with follicular carcinoma, which is easy to transport, no matter how big or small, with or without capsular invasion, the ablation of -131 should be performed.
Reference reading: http:///zhuanjiaguandian/libochen_113069.htm
If possible, suggest the consultation:
(1) VIP Clinic: Thursday morning, 20 limit, limit cases (refractory hyperthyroidism, refractory thyroid cancer, thyroid nodules, identification of benign and malignant thyroid disease stages), 13 outpatient building special outpatient registration, with 14 floors of the consulting room, telephone booking: 021-54972001/021-24058613; foreign or foreign patients can apply for plus through this station (each time limit of No. 2). (2) expert outpatient service: Tuesday morning and Thursday afternoon, the limit of 30, 1 outpatient floor hang a number of experts, consulting room, No. 5 building B area 10 telephone booking: 021-64757781/64757782/24056666; online booking: http://www.guahaoe.com/reg_month_701_8536_44801.html;