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

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Presentation transcript:

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

本院住院記錄 ~ ： Bladder stone, BPH-> TURP ~ ： Renal Stone -> ESM ~ Surgery ： LAP, R/O thyroid Ca ~ ： Thyroid Ca. with neck LN meta ~ ： BPH -> TURP ~ Surgery ~ Chemotherapy ： Papillary thyroid Ca. C/T with cisplatin + epirubicin

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

Thyroid Carcinoma History (2) ： Thyroid echo ： LAP 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

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

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

Thyroid Carcinoma History (5)

Thyroid Carcinoma History (6) Thyroid echo Right cervical area with mutiple hypoechoic LNs ~ 放射線治療診斷： malignant neoplasm of thyroid gland 共接受 23 次 continuous RT ~ 放射線治療共接受 5 次 continuous RT

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

Thyroid Carcinoma History (8)

Thyroid Carcinoma History (9)

Thyroid Carcinoma History (10)

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