Spuler Jane, Paillahueque Gabriela, González Patricio, Campos David
Departamento de Medicina, Sección de Medicina Nuclear, Hospital Clínico, Universidad de Chile, Santiago, Chile.
Unidad de Medicina Nuclear, Servicio de Radiología e Imágenes, Clínica Santa María, Santiago, Chile.
Rev Med Chil. 2018 Dec;146(10):1220-1223. doi: 10.4067/S0034-98872018001001220.
We report a 72-years-old male patient with extensive differentiated thyroid cancer (DTC), who required a tracheostomy and gastrostomy. Considering his clinical condition, risk of aspiration and management of the ostomies, radioiodine (131I) was administered intravenously, using recombinant human thyrotropin (rhTSH) and levothyroxine. The procedure was successful, both clinically and in terms of radioprotection.
我们报告了一名72岁的男性患者，患有广泛分化型甲状腺癌（DTC），需要进行气管造口术和胃造口术。考虑到他的临床状况、误吸风险和造口的管理，使用重组人促甲状腺素（rhTSH）和左甲状腺素通过静脉注射给予放射性碘（131I）。该操作在临床和辐射防护方面均取得成功。
