What items should be reviewed after hemisection of thyroid cancer

Postoperative follow-up for hemisection of thyroid cancer usually includes laboratory tests such as thyroid function and serum calcium, as well as imaging tests such as neck ultrasound and chest CT. Hemisection of thyroid cancer is performed when the patient's tumor is relatively large or the tumor has invaded surrounding tissues. Routine follow-up is required after surgery to prevent recurrence or metastasis.

1. Laboratory examination:

1. Thyroid function: mainly evaluates seven items of thyroid function, including thyroid-stimulating hormone, total thyroxine, free thyroxine, triiodothyronine, free triiodothyronine, etc.;

2. Serum calcium: It is necessary to assess whether the patient has parathyroid gland damage after surgery, which can be done through serum calcium testing;

3. Serum free thyroxine: should be maintained within the range of 4-6pmol/L. If it increases, it indicates hypothyroidism and thyroxine should be supplemented in time;

4. Serum free triiodothyronine: should be maintained within the range of 9-11pmol/L. If it is elevated, hyperthyroidism may exist and further examination should be performed to determine the treatment plan;

5. Serum thyroglobulin: Mainly used to evaluate whether the scope of thyroid resection has met the requirements, so as to avoid tumor recurrence caused by residual thyroid tissue;.

6. Thyroid-stimulating hormone: It should be kept below 2.5mIU/L. If it increases, it may be a sign of thyroid cancer metastasis.

2. Imaging examination:

1. Neck ultrasound: mainly through ultrasound examination to observe the size, shape, edge clarity and blood flow of the thyroid gland, so as to determine whether there is a possibility of recurrence;

2. Chest CT: Mainly used to observe whether there are nodules in the lungs or metastasis in the mediastinal lymph nodes, so as to determine whether there is a recurrence of thyroid cancer.

Patients who have undergone hemisection of thyroid cancer also need to undergo regular pathological examinations to determine their prognosis. At the same time, in daily life, they should pay attention to maintaining a happy mood, improving iodine intake, avoiding spicy foods, paying attention to rest, and avoiding staying up late.