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Management of Papillary Thyroid Cancer

The document discusses the management of papillary thyroid carcinoma. It covers: 1) Staging and risk stratification to determine the extent of disease. 2) Surgical management, including pre-operative preparation with medications to shrink the thyroid and post-operative follow-up with thyroid hormone replacement, thyroglobulin measurement, imaging scans, and radioactive iodine ablation if needed. 3) Monitoring involves regular thyroid hormone levels, thyroglobulin tests, and imaging scans to check for recurrence or spread of cancer.

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Rem Alfelor
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44 views11 pages

Management of Papillary Thyroid Cancer

The document discusses the management of papillary thyroid carcinoma. It covers: 1) Staging and risk stratification to determine the extent of disease. 2) Surgical management, including pre-operative preparation with medications to shrink the thyroid and post-operative follow-up with thyroid hormone replacement, thyroglobulin measurement, imaging scans, and radioactive iodine ablation if needed. 3) Monitoring involves regular thyroid hormone levels, thyroglobulin tests, and imaging scans to check for recurrence or spread of cancer.

Uploaded by

Rem Alfelor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Management of

Papillary Thyroid Carcinoma


1) Staging and Risk Stratification
2) Surgical Management
a) Pre-operative
b) Post-operative
3) Monitoring

1
Management of
Papillary Carcinoma Thyroid
1) Staging

Source: Schwartz's Principle of Surgery 10th Ed 2


Management of
Papillary Carcinoma Thyroid
1) Staging

Source: Schwartz's Principle of Surgery 10th Ed 3


Management of
Papillary Carcinoma Thyroid
1) Staging

Source: Schwartz's Principle of Surgery 10th Ed 4


5
Management of
Papillary Thyroid Carcinoma
2) Surgical Management
a) Pre-operative
Lugols Solution ( 3 drops BID) or Saturated
Potassium Iodide
Anti-thyroid medications (Methimazole and PTU)

6
Management of
Papillary Thyroid Carcinoma

Source: Schwartzs Principles of Surgery 10th ed 7


ATA 2015

8
Management of
Papillary Thyroid Carcinoma
2) Surgical Management
b) Post-operative Follow-up
Thyroid Hormone T4
Thyroglobulin measurement
Imaging:
Routine whole body radioiodine scan (6-12 months after
ablation)
Cervical Ultrasound (6-12 months, then annually for 3- years)

9
Management of
Papillary Thyroid Carcinoma
2) Surgical Management
a) Post-operative
Radioactive Iodine Ablation Therapy
Discontinuation T4 hormones 6 weeks before scanning with
131
I
Patient should receive T3 hormones at this time and
discontinued weeks before scanning
Low-iodine diet weeks before scanning

10
Management of
Papillary Thyroid Carcinoma
2) External-Beam Radiation and Chemotherapy
To control unresectable, locally invasive or recurrent disease , treat
metastases
Doxorubicin and Paclitaxcel

11

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