Patients treated for differentiated thyroid cancer are monitored carefully with physical examinations, serum quantitative thyroglobulin levels, and radiological studies based on individual risk for recurrent disease.[32] Treatment options for recurrent papillary and follicular thyroid cancer Treatment options for recurrent papillary and follicular thyroid cancer include: Surgery with or without postoperative RAI therapy Surgery with or without 131I ablation can be useful in controlling local recurrences, regional node metastases, or occasionally, metastases at other localized sites.[33] Approximately 50% of the patients who undergo surgery for recurrent tumors can be rendered free of disease with a second operation.[30] Local and regional recurrences detected by 131I scan and not clinically apparent can be treated with 131I ablation and have an excellent prognosis.[34] Up to 25% of recurrences and metastases from well-differentiated thyroid cancer may not show 131I uptake
Selenium is a cofactor for enzymes that are present in thyroid cells, such as iodothyronine deiodinase (DIO), which catalyzes the conversion of T4 to T3, thioredoxin reductase (TR), which is involved in the regulation of the redox state, and glutathione peroxidase (GPx), which catalyzes the reduction of H 2 O 2 to H 2 O, using reduced glutathione (GSH) as a cosubstrate
Baxter PS, Dando O, Hardingham GE
Vitamin B12 and folate are particularly important for maintaining myelin integrity and axonal conduction, which are critical for functional recovery after stroke (158)
Journal Of American College Health 2019, 69: 1-8
