文档介绍：该【核医学教学课件：Iodine-131 treatment for Differentiated Thyroid Carcinoma 】是由【窝窝爱蛋蛋】上传分享，文档一共【27】页，该文档可以免费在线阅读，需要了解更多关于【核医学教学课件：Iodine-131 treatment for Differentiated Thyroid Carcinoma 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。Iodine-131treatmentforDifferentiatedThyroidCarcinoma
Thyridcancer
Papillarythyroidcarcinoma
Follicularthyroidcarcinoma
Others:medullarythyroidcancer,anaplasticthyroidcancer.
Etiology
Priorexposuretoradiation
Dietaryfactors
Genetic,endocrineandimmunity
Clinicalfeatures
Solitarythyroidnoduleinanteriorcervicaltriangle.
Tobediscoveredbyaccidentoronroutinephysicalexamination.
Painlessandmovesdruingdeglutition
Diagnosis
Fine-needleaspirationofthyroidnodules
Thyroidradioactivescan
Ultrasound
CTorMRI
pathology
Treatment
Surgical
therapy
iodine-131
therapy
thyroid
hormone
Treatment
Surgeryistoclearupprimarylesion,mostnormalthyroidtissueandregionalmetastases.
131Iistoablatetheremnantthyroidtissueandmetastases
Lifelongthyroidhormonereplacementistopreventhypothyroidismandrelapse
Principle
Thyroidglandaccumulate131I.
Welldifferentiatedthyroidcancerscantakeup131I.
Theβ-radiationdestroythosecancerlesions.
Whydopatientsneed131Itherapy?
Therearestillsomeminimumcancersintheremnantthyroidtissue.
Ifweablatetheremnanttissue,itisbettertofindmetastases.
Examinethelevelofthyroglobulin.
Higherablationdosedetectremnantormetastasesbetterthandiagnosticdose.
Wholebodyscanafterfirst131Itherapy
Wholebodyscanaftersecond131Itherapy