Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Does 1.2 X 1 Cm Lesion In Liver Imply?
respected sir, my husband dr satyapal reddy underwent total thyroidectomy +b/l cervical, paratracheal lymphadenectomy in 2005for papillary cancer-followed by i-131 200mci therapy.started on eltroxin 150.gamma scan in 2006 -normal .multiple 1cm lesions showed in lungs and pleura onCT CHEST-in june 2009.i-131 200mci given in oct-2009followed by gamma scan which showed uptake in left gluteal ,right renal areas.PET CT -in november 2009-showed PET NEGATIVE lesions in lungs,PET POSITIVE lesions inliver ,right kidney and left gluteal area.USG done showed 1.2x1cm lesion in liver and 2x1cm lesion in kidney ,3x2 cm in gluteal area.,3 nodes in neck.Gluteal mass excised -H.P.E-papillary ca.CAN CYBER KNIFE HELP IN OUR CASE TO REMOVE RENAL ,LIVERAND LUNG LESIONS OR DO WE HAVE TO GO FOR SURGERY OR ANOTHER I-131 THERAPY.KINDLY HELP US.
Mon, 3 May 2021
Hi,
Unfortunately, in your case the metastatic spread of thyroid cancer is already in multiple areas and hence surgery to remove the multiple lesions is neither possible and nor advisable. Also, even theoretically, if a surgeon removes these multiple lesions, the possibility of further metastasis can not be predicted.
At this time, the radio active iodine as well as external beam radiation are the modes of treatment. Overall survival rate of metastatic papillary carcinoma after 5 year is 76% with these treatment. Further treatment with newly approved drugs by FDA may increase the prognostic avenues to more favorable outcomes. These drugs are Sorafenib and Lenvatinib, which may be used under guidance of your doctor.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Satnarain Bansal, General & Family Physician
Unfortunately, in your case the metastatic spread of thyroid cancer is already in multiple areas and hence surgery to remove the multiple lesions is neither possible and nor advisable. Also, even theoretically, if a surgeon removes these multiple lesions, the possibility of further metastasis can not be predicted.
At this time, the radio active iodine as well as external beam radiation are the modes of treatment. Overall survival rate of metastatic papillary carcinoma after 5 year is 76% with these treatment. Further treatment with newly approved drugs by FDA may increase the prognostic avenues to more favorable outcomes. These drugs are Sorafenib and Lenvatinib, which may be used under guidance of your doctor.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Satnarain Bansal, General & Family Physician
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....