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Huge and Multifocal Medullary Thyroid Carcinoma with Postoperative Residual and Recurrent Leasions Demonstrated by Serial Thallium-201 Scans: A Case Report

巨大多發性甲狀腺髓質癌以一系列201Tl掃描偵測術后殘餘腫瘤組織及復發:一病例報告

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摘要


本病例報告一名45歲男性罹患甲狀腺體質癌,手術前後以201TI掃描連續追踪的重要性。在一系列4次的201TI掃描中清楚的顯示出術前病灶的範圍與位置,術後病灶的殘餘組織,及在接受sandostatin和放射治療後的病灶復發等。文中並討論201TI掃描在甲狀腺髓質癌術後立即偵測殘餘腫瘤組織及其他角色之應用。

並列摘要


A 45 year-old male medullary thyroid carcinoma(MTC)patient is presented to demonstrate the importance and usefulness of serial thallium-201(201TI)scans before and after operation. Four serial 201TI scans clearly showed the location and extension of the tumor before the operation, the residual tumor soon after the operadion, and the progression of the tumor even under sandostatin therapy and radiotherapy. The roles of 201TIscan in MTC and a residual tumor which was found soon after operation are of interests.

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