ayeshah_l
Forum Elite
Topics: 29
Posts: 284
| | 05/24/05 - 04:10 PM
1 of 1 forum leaders found this post helpful
| #2 |
[left]Treatment for small (< 1.5 cm) encapsulated tumors localized to one lobe is usually lobectomy and isthmectomy, although some experts recommend more extensive thyroid surgical treatment. Thyroid hormone in TSH suppressive doses is given to minimize chances of regrowth or to regress any microscopic remnants of papillary carcinoma; surgical treatment is almost always curative. Large (> 1.5 cm) or diffusely spreading tumors often require total or near-total thyroidectomy with postoperative radioiodine scans and subsequent ablation of residual thyroid tissue with appropriately large doses of 131I administered when the patient is hypothyroid. Alternatively, recombinant TSH (not yet available) can be administered for 2 days prior to 131I for the diagnostic scan to detect residual thyroid tissue or cancer, thus avoiding the need to let the patient become hypothyroid prior to the diagnostic scan. Repeat treatment may be required every 6 to 12 mo to achieve ablation of the remaining thyroid tissue. TSH suppressive doses of L-thyroxine are given after treatment, and measurement of serum thyroglobulin is useful in detecting recurrent or persistent disease.[/left]
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| pass999
Forum Newbie
Topics: 1
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thanks for ur reply.
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| pass999
Forum Newbie
Topics: 1
Posts: 3
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thanks for ur reply
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