How to treat medullary thyroid carcinoma?
summary
The main cause of medullary thyroid carcinoma is RET proto oncogene mutation. When there are unilateral or bilateral thyroid mass, dyspnea, dysphagia, hoarseness, convulsions of hands and feet, carcinoid syndrome and other symptoms, we should pay attention to the occurrence of medullary thyroid carcinoma. Let's share my experience with you.
How to treat medullary thyroid carcinoma?
MTC is a slowly progressive disease. Emergency treatment should be sought only in the following cases: 1; 2. Delayed treatment time, obvious chest tightness, shortness of breath, dysphagia. The first aid measures are as follows: 1; 2. Reduce active and passive activities; 3. Oxygen inhalation if possible; 4. Go to a regular hospital for tracheotomy.
According to the size of your thyroid nodule, age at diagnosis, cervical lymph node metastasis and distant spread, the doctor will choose one or several combined treatment methods suitable for you: 1; 2. Other treatments include radiotherapy, chemotherapy and drug intervention; 3. At present, radiotherapy and chemotherapy are considered as palliative treatment only under ineffective control; 4. New molecular targeted therapeutic drugs for adult patients with advanced (metastatic) MTC; 5. Recent development of radioimmunotherapy and vaccination.
The average 10-year survival rate of MTC is more than 50-90%. The patients with the following conditions have poor prognosis: 1; 2. MTC accompanied with cervical lymph node and / or distant organ metastasis; 3. Patients who need to undergo a wide range of surgery; 4. Patients with MEN2B hereditary MTC; 5. SMTC patients with m918t gene mutation; 6. The level of serum calcitonin increased rapidly, especially in patients with doubling within 6 months.
matters needing attention
1. Diet: postoperative diet nursing is particularly important, need to achieve: · balanced nutrition, from eating less and more meals to timing and quantitative· Eat more fresh vegetables, fruits and kelp, laver, etc· If postoperative radiotherapy appears malignant, vomiting, reduced appetite and other discomfort, can be in the doctor's guidance.
