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 ~ 1997.2.21 Surgery ： LAP, R/O thyroid Ca. 1997.2.21 ~ 1997.3.5： Thyroid Ca. with neck LN meta 1998.8.10 ~ 1998.8.20 ： BPH -> TURP 2001.2.1 ~ 2001.2.5 Surgery 2001.12.7 ~ 2001.12.17 Chemotherapy： Papillary thyroid Ca. C/T with cisplatin + epirubi

cin

Thyroid Carcinoma History (1)

1996.12 發現： Right neck painless mass was noted (3*3 cm) 1997.1.4Cytology examination: metastasis papillary adenocarcinoma 1997.2.24 手術診斷： Thyroid Ca with Right neck LN meta術式： Total thyroidectomy neck dissection

Thyroid Carcinoma History (2)

1999.12.21 ： Thyroid echo： LAP

2000.2.22 2000.10.31 2000.11.32000.11.72001.1.8核醫科檢驗：I-131 (thyroid) whole body scan

1.post total thyroidectomy without remnant2. high probability of local recurrent, low probability of distant meta

Thyroid Carcinoma History (3)

2001.2.1 手術

診斷： Papillary thyroid ca with LN metastasis

術式： modified radical neck dissection

Cytology: metastatic papillary carcinoma

Thyroid Carcinoma History (4)

2001.3.24 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)

2001.8.13Thyroid echo Right cervical area with mutiple hypoechoic LNs 2001.8.17 ~ 2001.9.25 放射線治療診斷： malignant neoplasm of thyroid gland共接受 23次 continuous RT 2001.10.15 ~ 2001.10.19放射線治療共接受 5次 continuous RT

Thyroid Carcinoma History (7)

2001.11.7

核醫科檢驗Tl - 201 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)

2001.12.14 ~ 2001.12.17

Chemotherapy： Papillary thyroid Ca. C/T with cisplatin + epirubicin