Brother had thyroidectomy, please advise?

Please find the attachment for my brother case , he did thyroidectomy two weeks ago.
Please kindly let me know
1- His pathology report and how is ( cauterized, they mention in the hospital it is capsulized ) would impact his chance for treatment
2- what is the possible treatment ?
3-What are the chances that his cancer will recur?
4- What is the chance of distance Metastasis?
5- is he Low risk cancer or high risk cancer?
6- what the next step RAI doasge 30 with WBS or only ultra sound on the neck with blood test?
Thanks in advance and best regards



Dr. Ayman Darrag
Member
Dr. Ayman Darrag

I am so sorry for your brother ,
This type of papillary thyroid carcinoma (mutifocal ) is a highly recurrent type which needs regular follow up ..
If there is no metastasis or lymph node involvement then total thyroidectomy is a good choice that will be followed with radioactive iodine therapy and life time levothyroxine.
Prognosis of patients with papillary thyroid cancer is found to be dependent on the patient’s age, the size of the tumor, presence of metastatic disease, and the presence of tumor invasion into adjacent tissues near the thyroid gland.

Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

Hi
papillary thyroid carcinoma is highly recurrent, however if there is no metastasis to lymph nodes or adjacent area then you have a good chance of no recurrence, treatment should be focusing on chemo and radiation after the thyroidectomy, final step is rechecking for metastasis In any other area periodically, the thyroidectomy it self will allow your doctor to analyze the cancer and check possibility of metastasis and recurrence
Good Luck

Dr.Honey
Member
Dr.Honey

Hi..
So sorry to hear about your brother and will try my level best to resolve it..

Papillary Thyroid carcinoma (PTC) is the most common form of well-differentiated thyroid cancer, and the most common form of thyroid cancer to result from exposure to radiation. Papillary carcinoma appears as an irregular solid or cystic mass or nodule in a normal thyroid parenchyma.

If metastasis is not present then the chances of recurrence are less..

Hope this helps..

Regards..

Dr.Honey
Member
Dr.Honey

Hi..
I would also like to add that in any kind of cancers the patient should undergo regular scanning to check for any recurrences or spread to other parts and atleast scanning should be done every 3-4 months..
It is a high risk cancer so it should be regularly examined..
Also as total thyroidectomy is done proper thyroid hormone replacement should be done along with Radioactive iodine..

Hope this helps..

Regards..

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