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Thyroid Surgery Vs Radioactive Iodine

Gtgt IN PATIENTS WITH THYROID CANCER, RADIOACTIVE IODINE IS ACTUALLY USED AS THE SECOND PART OF THEIR THYROID CANCER TREATMENT. gtgt THE THYROID IS UNIQUE IN THE BODY IN THAT IT TAKES UP IODINE OR IODINERELATED COMPOUNDS, SPECIFICALLY. gtgt SO RADIOACTIVE IODINE ABLATION, OR RADIOACTIVE IODINE TREATMENT, TAKES ADVANTAGE OF A NORMAL PROCESS WHERE THE THYROID CELLS, WHETHER THEY’RE THYROID CANCER OR NORMAL THYROID CELLS OR EVEN GRAVES’ CELLS, USUALLY TAKE IODINE TO MAKE THYROID HORMONE, BUT THIS TIME WE GIVE THE PATIENT RADIOACTIVE IODINE. gtgt RADIOACTIVE IODINE CAN THEN BUMP OFF,.

BASICALLY, THE THYROID CELLS, PARTICULARLY THYROID CANCER CELLS. gtgt IT’S THOSE RESIDUAL CELLS THAT EITHER STILL CAN HARBOR THE THYROID CANCER OR CAN BE A REASON FOR THYROID CANCER TO RETURN. gtgt FOLLOWING SURGERY FOR THYROID CANCER, A PATIENT IS SEEN BACK IN THE ENDOCRINE OFFICE ABOUT TWO TO THREE WEEKS LATER. gtgt DURING THIS TIME, THEY RECEIVE ALL THE INFORMATION AND GUIDELINES THEY NEED TO ANTICIPATE THEIR RADIOACTIVE IODINE TREATMENT. THE ACTUAL RADIOACTIVE IODINE TREATMENT TAKES PLACE ABOUT SIX WEEKS AFTER SURGERY, OR ABOUT THREE TO FOUR WEEKS AFTER THEY’RE SEEN FOR THEIR.

FOLLOWUP VISIT. WHEN THE PATIENT COMES IN AND RECEIVES A VERY LOW DOSE OF RADIOACTIVE IODINE. gtgt WE GIVE THEM A SMALL DOSE TO TRY TO FIGURE OUT HOW MUCH TISSUE IS LEFT. gtgt THE FOLLOWING DAY, THEY COME BACK AND HAVE A WHOLE BODY SCAN. THAT SCAN GIVES US A SENSE OF HOW MUCH RADIOACTIVE IODINE WAS TAKEN UP IN THE BODY AS WELL AS WHERE WAS IT TAKEN UP IN THE BODY. THE PATIENT THEN COMES IN THAT THIRD CONSECUTIVE DAY, RECEIVES THEIR ACTUAL RADIOACTIVE IODINE TREATMENT AT A MUCH HIGHER DOSE THAN THEY RECEIVED TWO DAYS PRIOR.

Radioactive Iodine Ablation for Thyroid Cancer Pediatric Thyroid Center at CHOP 6 of 9

THE FOLLOWING WEEK, THE PATIENT COMES BACK FOR WHAT WE CALL A POSTTREATMENT WHOLE BODY SCAN. THIS WHOLE BODY SCAN IS CRUCIAL TO SERVE AS A BASELINE TO UNDERSTAND WHERE EXACTLY THE PATIENT DOES HAVE DISEASE. gtgt THE ADVANTAGE TO DOING THAT IS IF YOU CAN GET RID OF ALL THE CELLS, THEN YOU CAN USE A PROTEIN THAT THOSE CELLS MAKE AS A MARKER OF CANCER. AND THAT PROTEIN IS CALLED THYROGLOBULIN. gtgt AND WE CAN FOLLOW THAT LEVEL CHEMICALLY. AND IF THAT LEVEL ALL OF A SUDDEN BECOMES DETECTABLE,.

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