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What Does The Following WBS Scan Report Indicate?

Posted on Mon, 24 Apr 2017

Question: Hi Doctor,
I hope you are doing well, please find the attached WBS scan for my brother , which he did thyriodetcomy last 1//2/2017 , i hope you can give us more information about his case from, the uptake of the remnant tissue , because he has a postie margin , and lat meeting with the doctor said he can not say the tissue has malignancy or no , and i believe that sure once positive margin so the tissue should be caner, please clarify ??Also can you please tell us is that tissue in the term of uptake is high or how much and the marker as well.
Best regards
XXXX

Answered by Dr. Indu Kumar (46 minutes later)

Brief Answer:
Remnant tissue are normal thyroid tissue.

Detailed Answer:
Hello,
Thanks for writing to Healthcaremagic,
I've gone through your query and understand your concern,

I have gone through all the reports.There are no signs of remnant malignancy.
Remnant tissue are normal thyroid tissue.
It is good that there are no signs of distant spread of malignancy.

We can be sure of successful operation.Whole diseased part has been removed and there are no signs of malignancy.

Antithyroid globulin antibodies may persist as it is related to past antibodies.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Indu Kumar (29 minutes later)

Dear Doctor,

Thanks a lot for you reply. great to hear form you.

I just would like to inform us from the WBS about the, uptake value because as you now is a factor in this matter.
an as i told you doctor he has a positive margin , means there is near total surgery.

so please provide us of you opinion about the up take and the quantitative of the tissue?
Best regards
XXXX

HI again doctor,

Please also the percentage of uptake if please can you provide us,
Reagrds

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Report clearly mentioned about the normal uptake of remaining thyroid tissue.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

It is not totally possible to assess cleared margins during surgery. This is the reason for advising for the scanning.

It is not determined by percentage. It is commented as increased or decreased uptake.
The report clearly mentioned that there is normal uptake of remaining thyroid tissue, so there is no need to worry.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Indu Kumar (18 minutes later)

Tks doctor, last is it clear from scan how much the percentage of uptake in figure??? For example 5 or 6 ?? To know is it high or low ???regards

I meant is it increase or decreased ? And is report scan can show and reported cancer cells in remain tissue ?? Please advise regards

Answered by Dr. Indu Kumar (13 hours later)

Brief Answer:
Radionuclide scan is shown as normal or abnormal uptake.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

Sorry for replying late.
Radionuclide scan is shown as normal or abnormal uptake.
It is not mentioned as number or percentage.
Above normal uptake may be seen in hyperactive thyroid like grave's disease etc.
Decreased uptake may be seen in thyroiditis etc.

Your report is mentioned as normal uptake of remaining thyroid tissue.So,there is no need to be worried.

If there are metastasis then it must had been seen in scanning.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Indu Kumar (8 hours later)

Hi Doctor , thanks a lot just wondoring if u can explain in the report mentioned , foci of increased uptake , what does it mean and sconde please explain that is the cancer cells associated with increased uptake more than normal cell ??? Or what. Thanks again XXXX

Answered by Dr. Indu Kumar (44 minutes later)

Brief Answer:
Remnant tissue may be slightly hyperactive.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

Remnant tissue may be slightly hyperactive due to increased demand by body.
Still it is considered as normal.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T