Thyroid cancer
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You are here: Home » Pathology Notes » Thyroid cancer
T4 replacement if TSH is in lower end of normal range
6-8 months after initial surgery
RAI scan
thyroglobulin: thyrogen protocol
routine followup
Recombinant human TSH
0.9 mg IM for 2 days
increase TSH as much as if a patient becomes hypothyroid
RTSH thyrogen
Tg scan on day 5
Important points
thyroid cancer treatment
causes: papillary cancer: good prognosis
diagnosis: identification of thyroid nodule via palpation, ultraounds, FNA
treatment: attempt to remove all thyroid tissue: surgery, radioiodine; T4 replacement if TSH is suppressed or is in the lower part of normal
Followup protocol
thyroglobulin levels
RAI scan
TFTs: TSH low/normal
Category: Pathology Notes
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