With rare exception, these cancers are cured by conservative surgery without additional therapy, and seldom result in recurrent disease. Therefore, the shift in emphasis from disease survival to recurrence is appropriate. As a result of three technologic advances-high-resolution ultrasound US , recombinant TSH, and highly sensitive thyroglobulin Tg -disease relapse can be discovered when it is subclinical.
Endocrinologists who largely control administration of radioactive iodine have used it to ablate barely detectable or even biochemically apparent disease, hoping to reduce recurrence and perhaps improve survival. Thyroidectomy: surgery to remove the entire thyroid gland. When the entire thyroid is removed it is termed a total thyroidectomy.
When less is removed, such as in removal of a lobe, it is termed a partial thyroidectomy. Radioactive iodine RAI : this plays a valuable role in diagnosing and treating thyroid problems since it is taken up only by the thyroid gland. I is the destructive form used to destroy thyroid tissue in the treatment of thyroid cancer and with an overactive thyroid. I is the non-destructive form that does not damage the thyroid and is used in scans to take pictures of the thyroid Thyroid Scan or to take pictures of the whole body to look for thyroid cancer Whole Body Scan.
When all normal thyroid tissue is destroyed after radioactive iodine therapy in patients with thyroid cancer, thyroglobulin can be used as a thyroid cancer marker in patients that do not have thyroglobulin antibodies.
Radioactive iodine RAI : this plays a valuable role in diagnosing and treating thyroid problems since it is taken up only by the thyroid gland.
I is the destructive form used to destroy thyroid tissue in the treatment of thyroid cancer and with an overactive thyroid. I is the non-destructive form that does not damage the thyroid and is used in scans to take pictures of the thyroid Thyroid Scan or to take pictures of the whole body to look for thyroid cancer Whole Body Scan. Cancer recurrence: this occurs when the cancer comes back after an initial treatment that was successful in destroying all detectable cancer at some point.
The majority of patients with papillary thyroid cancer do well after the treatment which includes surgery and often radioactive iodine therapy. While only a small number of patients with papillary cancer die from their cancer, recurrence of the cancer is relatively common and patients are followed for many years for recurrence of the cancer.
However, it is not clear how long and how often patients with papillary cancer need a follow up.
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