Do I need to adjust my medication for post-operative review of thyroid cancer?

  Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): discovered in October 2010, hospital visited in Chifeng, Inner Mongolia. Total excision of right side of thyroid gland + lymph node dissection, first review results: TF3 1.55 (0.58-1.95),TF4 14.43 (4.87-11.72),FT3 4.40 (1.71-3.71),FT4 2.19 (0.7-1.48), TSH 0.0294 (0.35-4.94); taking Eugenol 2 tablets, doctor recommended to reduce 1/4 tablet. The second review result: TF3 1.10 (0.58-1.95), TF4 7.15 (4.87-11.72), FT3 2.93 (1.71-3.71), FT4 1.22 (0.7-1.48), TSH 0.7823 (0.35-4.94); taking Eugenol 1 tablet and 3/4, the doctor recommended the same amount of medication. What is the range of TSH that should be controlled?  Long Bin, Department of Nuclear Medicine, Zhejiang Cancer Hospital: Change to 2 tablets per day and try to keep the TSH below 0.1.  Patient: Dr. Long Bin, I would like to ask if follicular papillary carcinoma is also prone to distant metastasis, what kind of examination should I do regularly to prevent and detect him, thank you.  The most common metastasis is lymph node metastasis, so regular review of neck ultrasound is necessary, followed by common metastasis sites such as lung, bone and brain, so regular chest CT may also be necessary. In addition, thyroglobulin and thyroglobulin antibodies should be measured because they are often elevated and indicate tumor recurrence or metastasis, but in your case, since the left lobe of the thyroid gland has not been removed, it is not sensitive to recheck thyroglobulin and thyroglobulin antibodies.  Patient: I would like to consult with you about total thyroid excision, does it affect a person’s body much?  Long Bin, Department of Nuclear Medicine, Zhejiang Cancer Hospital: Lifelong supplementation of thyroid hormone is fine, and it is not harmful to the body.