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| == Do's == | | ==pic== |
| '''Thyroglobulin level monitoring'''
| | {| |
| *Order serum Tg periodically during follow-up of patients with differentiated thyroid cancer who have undergone less than total thyroidectomy
| | |[[image:LowKECG.png|thumb|700px|center|An ECG in a person with a potassium level of 1.1 showing the classical ECG changes of ST segment depression, inverted T waves, large U waves, and a slightly prolonged PR interval. By James Heilman, MD - Own work, CC BY-SA 3.0]] |
| *Order serum Tg periodically during follow-up of patients with differentiated thyroid cancer who have had a total thyroidectomy but not radioactive iodine ablation
| | |} |
| '''Cervical ultrasound'''
| | <br style="clear:left" /> |
| *Perform cervical ultrasound to evaluate thyroid 6–12 months following surgery
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| '''18FDG-PET scanning'''
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| *Consider 18FDG-PET scanning in high-risk differentiated thyroid cancer patients with elevated serum Tg (generally >10 ng/mL) and negative radioactive iodine imaging
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| '''CT scans'''
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| *Order chest CT scan with or without IV contrast in high-risk differentiated thyroid cancer patients with elevated serum Tg (generally >10 ng/mL) or rising Tg antibodies with or without negative radioactive iodine imaging
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| '''TSH range'''
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| *Maintain serum TSH below 0.1 mU/L in patients with a structural incomplete response to therapy, indefinitely in the absence of specific contraindications
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| *Maintain serum TSH between 0.5-2 mU/L in patients with an excellent or indeterminate response to therapy, especially those at low risk for recurrence
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| '''Surgery for nodal disease'''
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| *Perform surgery in patients with clinically apparent, macroscopic nodal disease
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| *Perform therapeutic compartmental central and/or lateral neck dissection in a previously operated compartment, in patients with biopsy-proven persistent or recurrent disease for central neck nodes ≥8 mm and lateral neck nodes ≥10 mm
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| *Perform compartmental surgery
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| *Perform combination of surgery and RAI and/or EBRT in patients with aerodigestive invasive disease
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| *Perform combination of surgery and 131I and/or external beam radiation therapy in patients who have tumors that invade the upper aerodigestive tract
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| *Order complete blood count and assessment of renal function before administration of radioactive iodine
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| *Discuss preventive strategies for dental caries with patients with xerostomia
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| '''Radioactive iodine therapy'''
| | [[image:LowKECG.png|thumb|700px|right|An ECG in a person with a potassium level of 1.1 showing the classical ECG changes of ST segment depression, inverted T waves, large U waves, and a slightly prolonged PR interval. By James Heilman, MD - Own work, CC BY-SA 3.0]] |
| *Order pregnancy test before radioactive iodine administration
| | <br style="clear:left" /> |
| *Administer radioactive iodine therapy in patients with iodine-avid bone metastases
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| *Administer radioactive iodine therapy in patients with pulmonary micrometastases | | {{#ev:youtube|7TWu0_Gklzo}} |
| *Repeat radioactive iodine therapy in patients with pulmonary micrometastases every 6-12 months | | |
| | ==Table== |
| | {| |
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Complications |
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Polymyositis |
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Dermatomyositis |
| | |- |
| | ! align="center" style="background:#DCDCDC;" + |[[Cancer|Malignancy]] |
| | | align="left" style="background:#F5F5F5;" + | |
| | *[[Lung]] |
| | | align="center" style="background:#F5F5F5;" + | |
| | *[[Lung]] |
| | |} |
