1. Patient Data 姓名：許 XX 出生日期： 1931/10/11 年齡： 70

2. 本院住院記錄 1995.6.30 ~ 1995.7.20 ： Bladder stone, BPH-> TURP 1996.10.5 ~ 1996.10.9 ： Renal Stone -> ESM 1997.2.16 ~ 1997.2.21 Surgery ： LAP, R/O thyroid Ca. 1997.2.21 ~ 1997.3.5 ： Thyroid Ca. with neck LN meta 1998.8.10 ~ 1998.8.20 ： BPH -> TURP 2001.2.1 ~ 2001.2.5 Surgery 2001.12.7 ~ 2001.12.17 Chemotherapy ： Papillary thyroid Ca. C/T with cisplatin + epirubicin

3. Thyroid Carcinoma History (1) 1996.12 發現： Right neck painless mass was noted (3*3 cm) 1997.1.4 Cytology examination: metastasis papillary adenocarcinoma 1997.2.24 手術 診斷： Thyroid Ca with Right neck LN meta 術式： Total thyroidectomy neck dissection

4. Thyroid Carcinoma History (2) 1999.12.21 ： Thyroid echo ： LAP 2000.2.22 2000.10.31 2000.11.3 2000.11.7 2001.1.8 核醫科檢驗： I-131 (thyroid) whole body scan 1.post total thyroidectomy without remnant 2. high probability of local recurrent, low probability of distant meta

5. Thyroid Carcinoma History (3) 2001.2.1 手術 診斷： Papillary thyroid ca with LN metastasis 術式： modified radical neck dissection Cytology: metastatic papillary carcinoma

6. Thyroid Carcinoma History (4) 2001.3.24 核醫科檢驗： I-131 (thyroid) whole body scan high probability of local recurrent, low probability of distant meta

7. Thyroid Carcinoma History (5)

8. Thyroid Carcinoma History (6) 2001.8.13 Thyroid echo Right cervical area with mutiple hypoechoic LNs 2001.8.17 ~ 2001.9.25 放射線治療 診斷： malignant neoplasm of thyroid gland 共接受 23 次 continuous RT 2001.10.15 ~ 2001.10.19 放射線治療 共接受 5 次 continuous RT

9. Thyroid Carcinoma History (7) 2001.11.7 核醫科檢驗 Tl - 201 thyroid whole body scintigraphy Imp: high probability of local recurrence and distal metastasis

10. Thyroid Carcinoma History (8)

11. Thyroid Carcinoma History (9)

12. Thyroid Carcinoma History (10)

13. Thyroid Carcinoma History (11) 2001.12.14 ~ 2001.12.17 Chemotherapy ： Papillary thyroid Ca. C/T with cisplatin + epirubicin