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Meta
Răspunsuri la întrebări (1559)
September 10, 2016
Mihaela:
Buna ziua dle doctor,
Ma numesc Mihaela si am 51 de ani. Acum 4 ani am facut tiroidectomie totala si mi s-a descoperit un microcarcinom incapsulat. Am facut tratamentul cu iod, si de atunci mi s-a spus sa iau Eutirox de 100.
Acum 4 luni am facut si analize pentru markerii tumorali. Domnul doctor mi-a spus ca sunt ok, dar 2 din ele nu sunt in intervalul de referinta:
ATG: 20/UI/I (interval 30-70)
TG: 0.2 (0-10/ng/mI)
TSH:40.9 (0.5-4.5/microUI/mL)
Imi puteti spune, va rog si parerea dumneavoastra?
Va multumesc din suflet
Raspuns:
– daca analizele au fost recoltate pe intrerupere de Euthyrox, rezultatele sunt foarte bune; tiroglobulina e nedetectabila, ceea ce inseamna, in esenta, ca sunteti vindecata (de cancerul papilar);
– in situatia mult mai putin probabila in care aceste rezultate sunt obtinute sub tratamentul cu Euthyrox, doza si modul de administrare ar trebui imediat reevaluate; totusi, chiar si asa, concluzia legata de microcarcinomul papilar este la fel de buna;
– in cazul dvs, e important ca nivelul ATG sa nu fie PESTE limita superioara a normalului, pentru ca afecteaza masurarea tiroglobulinei; nu exista valoarea “prea mica” pentru ATG; nivelul TSH, cum am spus mai sus, depinde de cum a fost urmat tratamentul cu Euthyrox;
– in concluzie, investigatiile trebuie interpretate in context si de catre medic; simpla observatie a rezultatului in raport cu intervalul de referinta poate fi inselatoare;
Toate cele bune,
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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Buna ziua ! Acum 6 luni am facut iod radioactiv .si am rămas gravida am 5 săptămîni .este o problema daca păstrez sarcina . Eu trebuie sa mai fac si in Decembrie iod . Ce sfat imi dați !