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Use of thyroglobulin as a tumour marker

World Journal of Biological Chemistry 2017年第1期8卷 81-85页

作者： buddhike sri harsha indrasena Consultant General and Endocrine Surgeon Kandy General Hospital(Teaching)Kandy 20000Sri Lanka

It is worthwhile to measure serum thyroglobulin(TG) level in thyroid cancer before subjecting patients to surgery for two reasons. Firstly, if the level is high, it may give a clue to the local and metastatic tumour burden at presentation; secondly, if the level is normal,it identifies the patients who are unlikely to show rising TG levels in the presence of thyroid cancer. Those who have high serum TG before surgery will show up recurrence as rising serum TG during the postoperative period. Those who do not have high serum TG before surgery will not show up rising serum TG in the presence of recurrent disease. In the latter situation, normal TG level gives only a false reassurance regarding recurrence of disease. Nevertheless, rising serum TG during the postoperative period must be interpreted cautiously because this could be due to the enlargement of noncancerous residual thyroid tissue inadvertently left behind during surgery.

关键词： Thyroglobulin Thyroid cancer Recurrent thyroid cancer Anti-thyroglobulin antibodies Tumour marker

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Fatal necrotizing fasciitis following sclerotherapy for haemorrhoids

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Chinese Medical Journal 2013年第5期126卷 982-983页

作者： buddhike indrasena Lakmal Doratiyawa General Surgery Teaching Hospital Batticaloa Sri Lanka

A 58-year-old male was admitted with a history of rectal bleeding of 6 months duration. He had no otherwise significant past medical or surgical history. After admitting, he was diagnosed with second degree haemorrhoids with bleeding. Three internal haemorrhoids were rejected subnnmosally with 5% phenol. About 5 hours following rejection, during night ward rounds, he was found pain in perineuln and lower abdomen, for which pethidine was given to him.

关键词： fasciitis sclerotherapy haemorrhoids

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