Serum thyroglobulin mesurement in the follow-up of patients treated for differentiated thyroid cancer (Articolo in rivista)

Type
Label
  • Serum thyroglobulin mesurement in the follow-up of patients treated for differentiated thyroid cancer (Articolo in rivista) (literal)
Anno
  • 2009-01-01T00:00:00+01:00 (literal)
Alternative label
  • Zucchelli G.; Iervasi A.; Ferdeghini M.; Iervasi G. (2009)
    Serum thyroglobulin mesurement in the follow-up of patients treated for differentiated thyroid cancer
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Zucchelli G.; Iervasi A.; Ferdeghini M.; Iervasi G. (literal)
Pagina inizio
  • 482 (literal)
Pagina fine
  • 489 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 53 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#note
  • In: The Quarterly Journal of Nuclear Medicine and Molecular Imaging, vol. 53 pp. 482 - 489. Minerva Medica, 2009. (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • CNR-IFC, Pisa, Nuclear Medicine University of Verona, Verona (Italy) (literal)
Titolo
  • Serum thyroglobulin mesurement in the follow-up of patients treated for differentiated thyroid cancer (literal)
Abstract
  • Determination of thyroglobulin (Tg)in serum represents a key element in the follow-up of patients treated for differentiated thyroid cancer (DTC). The sensitivity and the specificity of the assay strongly affects the clinical impact.Most of patients are disease-free after thyroidectomy and iodine ablation; 15% of them show over time persistent or recurrent disease; of these, 5% due to worsening of disease. This implies that the follow-up procedures should have a high negative predicitve value to reduce as possible the unnecessary diagnostic tools and a high positive predictive value to identify the few patients with persistent/recurrent disease. The recent international guidelines are based on thyroglobulin measurement after thyroid-stimulating hormone (TSH) stimulation. More recent studies suggest that follow up based on serial measurements of basal (i.e. unstimulated)Tg show a higher predictive value than the single measurement after stimulation. Large and multicenter studies are necessary to modify the current guidelines (literal)
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