Thyroid cancer patients have to wait for half a year after making an appointment for iodine 131 treatment? The city cancer hospital has 20 new isolation beds. Yesterday, a reader called our health hotline 85052876: “I just had thyroid cancer surgery, and the doctor recommended to continue iodine 131 treatment, but when I went to Zhejiang Cancer Hospital, I asked, now it takes nearly half a year to get an appointment, why do I have to wait so long ” The reporter learned that there are two reasons: firstly, this The first reason is that the incidence of thyroid cancer has increased rapidly in the past few years, and the number of patients has increased. Secondly, only the provincial cancer hospital in Hangzhou can do iodine 131 treatment, and because of the large number of patients, the hospital is preparing to increase the number of beds. In addition, the city cancer hospital will also open 10 beds and intend to treat the first 5 patients. Thyroid cancer ranks first among female tumors According to the data released by the CDC, thyroid cancer ranks second in the overall incidence of tumors in Hangzhou, and is the first among women. According to the analysis of last year’s physical examination results of the Medical Examination Center of the Third City Hospital, among the 30,000 cases of physical examination, 28% of the total number of people with thyroid lesions were found through ultrasound examination, and the ratio of men to women was basically half. This includes thyroid nodules, adenomas, calcifications, enlargement, etc. 5-15% of thyroid nodules will be thyroid cancer. According to the statistics of Provincial Cancer Hospital, 2,155 patients with thyroid cancer were admitted to the hospital in 2013, compared with 1,952 patients in 2012, an increase of 10.4%. Ge Minghua, vice president of the provincial cancer hospital, is an authority on thyroid cancer in the province. He said that in recent years, the high incidence of thyroid cancer is more obvious, and it has become the second malignant tumor in Hangzhou in terms of incidence growth rate. Iodine 131 can reduce the recurrence rate, but don’t over-treat it. Thyroid cancer is divided into three types: differentiated cancer (about 90%), undifferentiated cancer and medullary cancer. Differentiated cancer tissues have the ability to absorb iodine 131 and are suitable for treatment with iodine 131, while the latter two do not have the ability to absorb iodine 131 and are not suitable for treatment with iodine 131. Ye Xuemei, head of nuclear medicine department of provincial cancer hospital, introduced, “Iodine 131 treatment can remove occult metastatic lesions, appropriately reduce the recurrence rate and metastasis rate of thyroid cancer, and appropriately extend the survival period of patients.” Zhao Chunlei, director of nuclear medicine department of city cancer hospital, found out a set of data for us that the recurrence rate of thyroid cancer treated by surgical resection alone is 32%, the recurrence rate of surgery + thyroxine combined treatment is 11%, while the recurrence rate after surgery + iodine 131 + thyroxine combined treatment is only 2.7%. ”The main means of treating thyroid cancer is surgery, and for some high-risk patients, it makes sense to take iodine 131 treatment. However, I am against the excessive use of iodine 131 treatment, which is unnecessary.” Ge Minghua said. The city cancer hospital will open 20 isolation beds In June this year, the city cancer hospital nuclear medicine department officially opened. ”It can treat thyroid cancer and hyperthyroidism, bone pain caused by bone metastasis of malignant tumors, radioactive particle implantation for solid tumors, etc. Ten beds will be opened in the near future, and the first batch of five patients with differentiated thyroid cancer are intended to be admitted.” Zhao Chunlei confessed that there are more than 20 patients who have booked iodine 131 treatment, but they must come one by one. Yesterday, the reporter visited this “nuclear cave”. The department is built in a cave inside the city cancer hospital, the facilities are brand new, whether it is a double room or a triple room, there are lead protective screens in the middle to prevent patients from radiating with each other. The general hospital stay for doing iodine 131 treatment is about 5 days, and the following points should be noted after discharge home: low iodine diet; stay in a separate room and continue isolation for 1 month, and excrement should be disposed of separately; continue to take thyroxine.