#Oncologist Dr. Abdullah Yousef
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After the removal of a cancerous thyroid tumor, the oncologist's role begins, focusing on three main pillars: 👈👇
1. Determining the need for radioactive iodine (RAI) therapy
This is not routine for all patients. The doctor decides based on the final pathology report:
• It is indicated if the tumor is large (>4 cm), has spread to the lymph nodes, or has invaded outside the gland.
• It is not needed in very small (microscopic) low-risk cancers after lobectomy.
2. Adjusting thyroid hormone suppression therapy
After surgery, the doctor will prescribe levothyroxine (such as Eltroxin) not only to compensate for the deficiency but also to stop the growth of any remaining cancer cells. The doctor determines the dosage based on the TSH level:
• For high-risk cancer: The goal is to reduce TSH to less than 0.1 (near-complete suppression). 3. Monitoring for Tumor Recurrence: A strict follow-up schedule, usually for 5-10 years, includes:
Thyroglobulin (Tg) test: A protein secreted only by thyroid cells. Elevated levels after complete resection indicate residual or recurring cancerous tissue.
Ultrasound of the neck: Every 6-12 months.
Radioiodine scan: Only in specific cases.
4. Management of Advanced or Treatment-Resistant Cases: Rarely (in types such as papillary or follicular), if the cancer has spread or is unresponsive to iodine, the oncologist may prescribe:
Targeted drugs (tyrosine kinase inhibitors): Such as lenvatinib or sorafenib. External beam radiation therapy: For tumors in the neck that cannot be surgically removed.
Summary: The oncologist determines the need for radioactive iodine, adjusts the hormone dosage for preventative treatment, and monitors tumor markers to detect any recurrence early.
-Would you like to learn more about the preparation phase for the scan or how to care for yourself afterward? 👇
📲 Book your appointment now and start treatment with confidence.
📍 Our location: Ramallah - Opposite Jamal Abdel Nasser Mosque - Al-Fahd Building - 5th Floor.
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French Specialized Medical Center - http://fmc.ps
