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患者女性,20岁,已婚并有2个孩子.甲状腺左叶混合型乳头滤泡性腺癌术后5个月.于1984年3月首次就诊,体检:颈部未触及肿块.实验室检查:T_48.4μg%,TSH5.2μIU/ml.24小时甲状腺~(131)I摄取率为22%,口服~(131)I18.5MBq(0.5mCi)后48小时全身扫描显示右叶正常及残留左叶下极,发现骨盆左后方有2×3cm的亲碘性浓聚区.检查后患者回家,未接受任何治疗.3年后患者再次作随访检查,体检颈部无异常,完全无症状;血液实验室检查仍无改变.给予~(131)I 18.5MBq后2～7天做全身扫描,甲状腺和颈
Female patient, 20 years old, married with 2 children. Mixed thyroid follicular follicular adenocarcinoma of the left thyroid gland 5 months after surgery. First visit in March 1984. Physical examination: No mass in the neck. Laboratory tests: T_48.4μg%, TSH5.2μIU/ml. 24-hour thyroid 131I uptake rate was 22%, 48 hours after oral administration of 131II18.5MBq (0.5mCi). Whole body scans showed right lobe normal and residual left lobe In the lower pole, a 2×3cm iodine-sensitive concentrated area was found in the left posterior part of the pelvis. After the examination, the patient returned home and did not receive any treatment. After 3 years, the patient underwent follow-up examination again. There was no abnormality in the physical examination neck and it was completely asymptomatic. The laboratory examination remains unchanged. After 1 ~ 18.5 MBq of ~(131)I, a full-body scan is performed 2~7 days later. The thyroid and neck are