Pagini
Categorii
- Despre tiroida
- Ecoterapia
- Hipertiroidia
- Hipotiroidia
- Nodulii tiroidieni
- Răspunsuri la întrebări
- Teste de laborator explicate
- Tiroida si sarcina
- TIROIDA.ro pe YouTube
- Vazute pe internet
Arhiva blogului
- December 2019
- November 2019
- October 2019
- September 2019
- August 2019
- July 2019
- June 2019
- May 2019
- April 2019
- March 2019
- February 2019
- January 2019
- December 2018
- November 2018
- October 2018
- September 2018
- August 2018
- July 2018
- June 2018
- May 2018
- April 2018
- March 2018
- February 2018
- January 2018
- December 2017
- November 2017
- October 2017
- September 2017
- August 2017
- July 2017
- June 2017
- May 2017
- April 2017
- March 2017
- February 2017
- January 2017
- December 2016
- November 2016
- October 2016
- September 2016
- August 2016
- July 2016
- June 2016
- May 2016
- April 2016
- March 2016
- February 2016
- January 2016
- December 2015
- November 2015
- October 2015
- September 2015
- August 2015
- July 2015
- June 2015
- May 2015
- April 2015
- March 2015
- February 2015
- January 2015
- December 2014
- November 2014
- October 2014
- September 2014
- August 2014
- July 2014
- June 2014
- May 2014
- April 2014
- March 2014
- February 2014
- January 2014
- December 2013
- November 2013
- October 2013
- September 2013
- August 2013
- July 2013
- June 2013
- May 2013
- April 2013
- March 2013
- February 2013
- January 2013
- December 2012
- November 2012
- October 2012
- September 2012
- August 2012
- July 2012
- June 2012
- May 2012
- April 2012
- March 2012
- February 2012
- January 2012
- December 2011
- November 2011
- October 2011
- September 2011
- August 2011
- July 2011
- June 2011
- May 2011
- April 2011
- March 2011
- February 2011
- January 2011
- December 2010
- November 2010
- October 2010
- September 2010
- August 2010
- July 2010
- June 2010
- May 2010
- April 2010
- March 2010
- February 2010
- January 2010
- December 2009
- November 2009
- October 2009
- September 2009
- August 2009
- July 2009
- June 2009
- May 2009
Meta
Răspunsuri la întrebări (2000)
October 27, 2019
Maria Tomoioaga:
Buna dimineata !Va rog, dati-mi si mie un raspuns !
In urma cu un an am suferit o tiroidectomie totala.La examinarea histopatologica a fost identificat un nodul microfolicular de 0,5 cm ( din peste 20 , de marimi diferite ,in ambii lobi) , citez ,,ce pate fi sugestiv pentru un Microcarcinom papilar “.Mi s-a recomandat efectuarea cloratiilor imunohistochimici pentru CK19 si CD56 pentru probarea sau infirmarea suspiciunii de Microcarcinom papilar tiroidian.Doctorul chirurg m-a asigurat ca nu este nevoie , deoarece orice problema ar fi existat, a fost indepartata chirrgical.Acum, la un an, am facut o pauza de Etiraox de 18 zile , am refacut analizele cu urmatoarele rezultate :
TSH:-11,832 uUI/ml Valori de referinta :0,5-7.3
FT4:-0,32 0,6-1,2
Anti tiroglobulina:<0,9 0-4
Tiroglobulina: 1,61 3,5-77ng/ml-valori normale
<0,04-la pacientii atiroidieni
Marturisesc ca imi este un pic teama.Tg n-ar trebui sa fie nedetectabil ? Mululumesc !
Raspuns:
- in esenta, chirurgul a avut dreptate; un focar de carcinom papilar de 5 mm, care nu este situat in apropierea capsulei tiroidiene, se poate considera eliminat complet prin operatie si nu necesita tratament cu iod radioactiv;
- tiroglobulina devine nedetectabila la pacientii care au primit cel putin un tratament cu iod radioactiv; la ceilalti, cum e si cazul dvs, gasim o valoare mica, concordant cu micile resturi de tesut tiroidian care raman inevitabil dupa operatie;
- la dvs, monitorizarea ar trebui sa fie in primul rand ecografica, cu tiroglobulina recoltata sub Euthyrox anual; daca ecografic nu sunt modificari suspecte si tiroglobulina se mentine (relativ) constanta (chiar daca detectabila!), masurarea pe intrerupere de Euthyrox ar trebui luata in considerare la 2-3 ani;
Toate cele bune,
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
Nu sunt comentarii »
Nu sunt comentarii.
RSS feed for comments on this post. TrackBack URL