Follicular carcinoma SHCHZ

[Alka]

Prompt, please! The Woman, 27 years, Estonia. The site not to a neck has appeared unexpectedly, after pregnancy, 2 years naboljudalas at the surgeon, on a regular basis did or made US and a biopsy - the diagnosis a follicular adenoma. In the winter the surgeon has offered operation, having told or said, that the site has increased for 2 mm. 25.05.2005 right share SHCHZ is removed, by results of urgent histological research is diagnosed *quot; struma multi. nontoxica*quot;. As a result of detailed histological research the diagnosis have changed - a follicular carcinoma. The size of a tumour of 3 sm, lymphonoduses pure or clean, is not present invasions. According to the same surgeon the remained share SHCHZH - is healthy, but I understand, that it or she is necessary for removing in izbezhashii retsedivov, and also the further observation. After operation scanning radioaktivnyjm the Iodine is necessary to me. Excuse for verboseness, but here all the same questions - what forecast of this disease, whether vozimozhno occurrence of metastasises, whether probably in the further to plan pregnancy?

[Light]

Prompt, please! The Woman, 27 years, Estonia, 25.05.2005 is removed right share SHCHZ with podozoeniem on an adenoma. As a result of operation it is diagnosed - a follicular carcinoma of 3 sm, without invasions. The surgeon insists on excision of the remained share. Whether there is a necessity for repeated operation? What forecast of this type of cancer SHCHZ? Whether Probably in the further to plan pregnancy?

It is considered, that at such diagnosis it is necessary to delete a gland completely with the subsequent replaceable therapy by a L-thyroxine in a dose overwhelming secretion TTG up to the bottom border of norm or rate.

At correct treatment the forecast at a cancer of a thyroid gland favorable.

To plan in the further pregnancy it is possible.

[Alka]

Forgive or Excuse for silly vospros, but what means suppression TTG up to the bottom border of norm or rate, whether it is reflected on samuchuvstvii, weight and td? That is whether it is possible to feel thus the healthy person?

[VanushkoVE]

Probability of relapse differentiated RSHCHZH after excision of one share SHCHZH about 30 %. And this probability lifelong. Probability of relapse after full excision SHCHZH, excisions of a fat of the central zone, postoperative therapy by a radioiodine on a background of carrying out of OOu-OVERWHELMING therapy no more than 1 %.



Suppression of level TTG is reached or achieved by the certain dose levotiroksina. Roughly for ttg- it is necessary 2 - 2,5 mkg levotiroksina on 1 kg of weight of a body day. The final dose steals up individually. Correctly picked up dose levotiroksina will not be reflected in your state of health.

[Light]

Forgive or Excuse for silly vospros, but what means suppression TTG up to the bottom border of norm or rate, whether it is reflected on samuchuvstvii, weight and td? That is whether it is possible to feel thus the healthy person?

The state of health, weight, etc. will be thus absolutely normal. Do not worry, such patients as you much, they conduct a normal way of life, give birth or travail to children. The main thing - correct treatment.

TTG - the hormone of a pituitary body supervising function of a thyroid gland, stimulitujushchy its or her body height.

In your case stimulation of that remains from a gland, is undesirable. Therefore TTG it is necessary to suppress.

[Alka]

Many thanks!