What Is The Treatment For Papillary Cancer? Which Specialist Should I See For?
Thanks for the detailed history which was very informative indeed.
I would like to inform you that she will surely need an opinion of an oncologist . The Oncologist will review her clinically and may ask for an FNAC which is called Fine Needle Aspiration Cytology . It would give a more appropriate study of the cells in the area .
The Ultrasonography reported no vascularity which is a good sign . Sign of vascularity is more commonly a malignant lesion or growth because of inherent activity of rapidly proliferating cells .
She will however surely need an Oncology opinion .
The following medical care is appropriate for patients with papillary carcinoma, a relatively common well-differentiated thyroid cancer:
A scnitiscan is needed after 4-6 weeks of surgery. If any thryoid tissue is left, patients must receive radioiodine therapy to detect and destroy any metastasis and residual tissue in the thyroid. Administer therapy until radioiodine uptake is completely absent. Radioiodine treatment may be used again 6-12 months after initial treatment of metastatic disease where disease recurs or has not fully responded.
Administer the thyroid hormone replacement levothyroxine to patients for life, especially after total thyroidectomy. Treatment consists of administering replacement levothyroxine.
To be able to comment on the TSH levels, I would like to know the units and the standards for your lab. They would usually mention the normal when they report the results. This is so as different labs use different protocols for measurement.
A complete physical exam, TSH and thyroglobulin measurement, and antithyroglobulin antibodies titration is required every 6-12 months after surgery.
Awaiting your reply
Regards
Thanks for the reply
Scintiscan is an imaging test that uses a radioactive substance (called a tracer) and a special scanner to find or confirm the presence of specific tumour cells. Most oncology institute would have this scanner and would be able to perform the test.
I would suggest her to consult a head and neck oncosurgeon.
If I were to be her treating doctor, I would hold the tonsil removal till the above matter gets cleared by the Oncosurgeon.
Hope this answers your query. Let me know if you need any other information.
If all your queries are answered, please close this discussion.
Regards