Case (M/58)

CC: Residual Thyroglobulin after total thyroidectomy

PI: 2018³â 11¿ù 07ÀÏ papillary thyroid cancer·Î total thyroidectomy with central neck lymph node dissection ½ÃÇà ¹Þ¾ÒÀ½. ¼ö¼ú º´¸® °á°ú ¿ìÃø °©»ó¼±¿±¿¡ 1.0cm ÀÌ»ó Å©±âÀÇ À¯µÎ¾ÏÀÌ È®ÀεǾú°í, ¾çÃø °©»ó¼±¿±¿¡ 0.2~0.4cm Å©±âÀÇ ¾ÏÀÌ °üÂûµÊ, 11°³ ¸²ÇÁÀý Áß¿¡ 8°³¿¡¼­ ÀüÀÌ°¡ È®ÀεǾî pT3N1a·Î º´¸®º´±â°¡ Áø´ÜµÊ.


ÀÌÈÄ I-131 ablation therapy ½ÃµµÇÔ.


2Â÷ I-131 ablation Ä¡·á ÀÌÈÄ 3Â÷½Ã¿¡ off-Tg »ó½ÂÇÏ¿© Ãß°¡ SPECT/CT ÃÔ¿µÇÏ¿´°í, thyroid op bed, left paratracheal area¿¡ I-131 ¼·Ãë°¡ °üÂûµÇ¾î ÃÊÀ½ÆÄ °Ë»ç ÈÄ Àç¹ß È®ÀÎµÇ¾î ¼ö¼úÇÔ.


4Â÷ I-131 30mCi ablation ½ÃÇàÇÏ¿´°í, ¿µ»ó¼Ò°ß»ó ÀÌ»ó¼Ò°ß °üÂûµÇÁö ¾Ê°í, off-Tg < 0.2 ng/mL·Î ÃøÁ¤µÇ¾î complete ablation »óÅ·ΠÆò°¡µÊ.


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SPECT/CT¸¦ ÀÌ¿ëÇÏ¿© planar image º¸´Ù ¿¹¹ÎÇÏ°Ô º´º¯À» ¹ß°ßÇÏ°í ÇغÎÇÐÀû À§Ä¡µµ È®ÀÎÇÒ ¼ö ÀÖ¾î À¯¿ëÇÏ°Ô »ç¿ëÇÒ ¼ö ÀÖÀ½.

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