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Răspunsuri la întrebări (2007)
November 24, 2019
Georgiana:
Buna ziua dl doctor!Va rog sa ma ajutati si pe mine cu o parere.Din 2016 sunt sub observatie pt niste nodului tiroidieni, cel mai mare avand aproape 1 cm.In acesti ani analizele au fost ok, doar PTH a iesit o data marit.Nodulii au crescut f putini, cativa ml.Acum am repetat calcitonina care a iesit 6,59, limita fiind 6.4.In trecut calcitonina mi-a iesit 5.89 si 4.89.Mentionez ca urmez tratament ch vitamina D3 de aprox o luna.Credeti ca asta ar putea influenta createrea calcitoninei.Ce ar trebui sa fac in continuare?
Multumesc!
Raspuns:
- o valoare doar putin crescuta a calcitoninei apare de cele mai multe ori in contextul unei patologii benigne de tiroida si nu arata un carcinom medular;
- acest rezultat necesita, desigur, monitorizare, la 4-6 luni; daca valoarea creste peste 15-20 pg/ml trebuie luata in considerare efectuarea testului de stimulare cu calciu intravenos;
- nu cred ca tratamentul cu vitamina D este responsabil de cresterea nivelului calcitoninei;
Toate cele bune,
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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