The analysis of either papillary or follicular thyroid cancer has just been handed to you. Now what? If the cancer is still encapsulated in the thyroid gland and not spread to other areas or lymph nodes, a total thyroidectomy may be all that will be required as far as treatment.
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This would be determined by biopsy of surrounding tissue and lymph nodes that have been removed during surgery. But in the majority of cases papillary or follicular thyroid cancer patients will wish at least one medicine of radioactive iodine also known as I-135.
Why is radioactive iodine (Rai) given? The Rai medicine is given to destroy any thyroid cells, that may consist of cancer, remaining in the body. If there is cancer found in the surrounding tissues or in the lymph nodes is the the normal protocol to do at least one radioactive iodine treatment.
What has to be done to put in order for this treatment? Patients will be asked to go off their thyroid replacement hormone, levothyroxine, for 4 to 6 weeks prior to the scheduled treatment. Cytomel, a quick dissipating form of the thyroid hormone, may be prescribed for the first month. Going off the thyroid replacement hormone will cause the body to produce thyroid simulating hormones (Tsh), stimulating any remaining thyroid tissue. Someone else recipe of preparing is staying on the levothyroxine and receiving two injections of Thyrogen, a manmade hormone that acts the same way as the naturally-occurring Tsh in the body.
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