• Title/Summary/Keyword: 방사성요오드

Search Result 109, Processing Time 0.023 seconds

Cognitive Function of Thyroid Papillary Carcinoma Patients Before Radioiodine Therapy (방사성요오드 치료전 갑상선유두암 환자의 인지기능)

  • Kim, Hyun Seuk;Cheon, Jin Sook;Kim, Min Su;Choi, Young Sik;Oh, Byoung Hoon
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.21 no.2
    • /
    • pp.132-139
    • /
    • 2013
  • Objectives: The aims of this study were to know the prevalence of cognitive disorders in patients with thyroid cancer, and identify related variables to them. Methods: Subjects were consisted of fourty-two patients with thyroid cancer, who were admitted for radioiodine ablative therapy at 6-12 months after total thyroidectomy. The data were obtained from interviews about history and assessments of depression and cognitive function(Korean Version of the Montreal Cognitive Assessment, MoCA-K). Results: 1) Among subjects, those with below 22 of total score of the MoCA-K were twenty-one(50.0%). 2) Upon age, education, Pre-radioiodine therapy thyroid stimulating hormone(TSH), there were statistically significant difference between subgroup with above 23 of the total MoCA-K score and those below 22. 3) The total scores of the MoCA-K in subjects had significant correlation with age, education, comorbidity, Pre-radioiodine therapy TSH, total score of the HDRS-17. Conclusions: Cognitive disorders were more prevalent among patients with thyroid cancer before radioiodine therapy. Therefore, further study should be needed to clarify the mechanism for the cognitive disorders in thyroid cancer. Furthermore, physicians should pay attention to the cognitive function and prepare preventative measures for cognitive disorder during management of thyroid cancer.

  • PDF

Management of Bleeding Induced by Tyrosine Kinase Inhibitor in Radioiodine Refractory Thyroid Cancer (방사성요오드 불응성 갑상선암에서 티로신키나아제 억제제 투여로 유발된 출혈 이상 반응 관리)

  • Shin, Dong Yeob
    • International journal of thyroidology
    • /
    • v.11 no.2
    • /
    • pp.71-74
    • /
    • 2018
  • Adverse events such as hemoptysis and gastrointestinal hemorrhage during tyrosine kinase inhibitor treatment are relatively rare, but the severity of the bleeding can be higher than other common adverse events. It is necessary to educate patients about its possibility so that they can be found early. In this case report of radioiodine refractory thyroid cancer patient, hemoptysis and gastrointestinal bleeding has occurred following lenvatinib administration. Drug interruption and dose modification and dose interruption were required in addition to management for bleeding itself. It is necessary to confirm the high risk of bleeding before the administration of tyrosine kinase inhibitors, and to appropriately control the follow-up interval and drug dosage accordingly.

Management of Severe Fatigue Induced by Tyrosine Kinase Inhibitor in Radioiodine Refractory Thyroid Cancer (방사성요오드 불응성 갑상선암에서 티로신키나아제 억제제 투여로 유발된 중증 피로감의 관리)

  • Ahn, Byeong-Cheol
    • International journal of thyroidology
    • /
    • v.11 no.2
    • /
    • pp.75-77
    • /
    • 2018
  • Tyrosine kinase inhibitor is known to prolong progression free survival in radioiodine refractory thyroid cancer patients. Fatigue/asthenia/malaise is one of most common adverse events by the tyrosine kinase inhibitor treatment, and management of the adverse event is important to keep the drug medication longer which is essential for the survival benefit. In the case report, a radioiodine refractory thyroid cancer patient receiving tyrosine kinase inhibitor experienced severe fatigue, and a pathologic fracture of right humerus occurred by slipping down which was tightly linked with the adverse event of the drug. The pathologic fracture was surgically well managed and the adverse event was well controlled by supportive managements combined with dose reduction of the tyrosine kinase inhibitor. The drug administration to the patient was kept more than 1 year without progression of the disease.

Removal Efficiency of Organic Iodide on Silver Ion-Exchanged Yeolite and TEDA-AC at High Temperature Process (고온공정에서 은교환 제올라이트 및 TEDA 첨착활성탄의 유기요오드 제거성능)

  • 최병선;박근일;김성훈;윤주현;배윤영;지성균;양호연;유승곤
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
    • /
    • v.1 no.1
    • /
    • pp.65-72
    • /
    • 2003
  • Adsorption and desorption characteristics of methyl iodide at high temperature conditions up to 25$0^{\circ}C$ by TEDA-impregnated activated carbon and silver-ion exchanged zeolite(AgX-10), which are used for radioiodine retention in nuclear facility, were experimentally evaluated. In the range of temperature from 3$0^{\circ}C$ to 25$0^{\circ}C$, the adsorption capacity of base activated carbon decreased sharply with increasing temperature but that of TEDA-impregnated activated carbon showed higher value even at high temperature ranges. Especially, the residual amount of methyl iodide after desorption on TEDA-AC represented 30% lower value than that on AgX-10. However, it can be used as an adsorbent for the removal of methyl iodide up to 15$0^{\circ}C$ if it is preventing explosion by Ignition. The breakthrough curves of methyl iodide in the fixed bed packed with AgX-10 uP to 40$0^{\circ}C$ were compared upon the effects of bed temperatures, bed depth and input concentration of methyl iodide. Removal mechanism of methyl iodide on AgX-10 was proposed, based on the analysis of by-product gas generated from adsorption reaction.

  • PDF

Adsorption Characteristics of Elemental Iodine and Methyl Iodide on Base and TEDA Impregnated Carbon (활성탄을 이용한 원소요오드 및 유기요오드 흡착특성)

  • Lee, Hoo-Kun;Park, Geun-Il
    • Nuclear Engineering and Technology
    • /
    • v.28 no.1
    • /
    • pp.44-55
    • /
    • 1996
  • For the purpose of controlling the release of radioiodine to the environment in nuclear power plants, adsorption characteristics of elemental iodine and methyl iodide on the base carbon and 2%, 5% TEDA impregnated carbons were studied. The amounts of adsorption of elemental iodine and methyl iodide on the carbons were compared with Langmuir, Freundlich, Sips and Dubinin-Astakhov(DA) isotherm equations. Adsorption data were well correlated by the DA equation based on the potential theory. Adsorption energy distributions were obtained from the parameters of the DA equation derived from the condensation approach method. For the adsorption of methyl iodide and elemental iodine-carbon system, the DA equation can be well expressed by the degree of heterogeneity of the micropore system because the surface is nonuniform when its potential energy is unequal. The adsorption energy distribution wes investigated to find a surface heterogeneity on the carbon. The surface heterogeneity for iodine-carbon system is highly affected by the adsorbate-adsorbent interaction as well as the pore structure. The surface heterogeneity increases as a content of TEDA impregnated increases. The adsorption nature of methyl iodide on carbon turned out to be more heterogeneous than that of elemental iodine.

  • PDF