Article ; Online: Low correlation between serum thyroglobulin and
2022 Volume 87, Page(s) 1–4
Abstract: Purpose: To evaluate postoperative serum thyroglobulin (Tg) as a reliable tumor marker in low-risk differentiated thyroid cancer (DTC).: Methods: Two hundred and three patients met the selection criteria of >18 years old; who had undergone total or ... ...
Abstract | Purpose: To evaluate postoperative serum thyroglobulin (Tg) as a reliable tumor marker in low-risk differentiated thyroid cancer (DTC). Methods: Two hundred and three patients met the selection criteria of >18 years old; who had undergone total or near total thyroidectomy; had a postoperative Tg, and had undergone Results: One hundred ten patients (54.1%) had discordant results (p < 0.05) with positive PA-WBS and Tg <1 ng/ml, while 93 patients (45.9%) had concordant results. For concordant results, 88 patients had positive PA-WBS and Tg >1 ng/ml, and 5 patients had negative PA-WBS and Tg <1 ng/ml. There was no patient with Tg >1 ng/ml and negative PA-WBS. There were 74 patients with high TSH (>30 mU/l) on abstention (thyroxine withdrawal protocol). Twenty-four (32.5%) had discordant results (p < 0.001) and 50 (67.5%) had concordant results. Conclusion: There is low correlation between postoperative Tg and PA-WBS. The sole use of Tg as a serum biomarker for postoperative disease status may not be reliable. |
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MeSH term(s) | Adenocarcinoma ; Humans ; Iodine Radioisotopes/therapeutic use ; Radionuclide Imaging ; Thyroglobulin/blood ; Thyroid Neoplasms/diagnostic imaging ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery ; Thyrotropin ; Thyroxine ; Whole Body Imaging |
Chemical Substances | Iodine Radioisotopes ; Iodine-131 ; Thyrotropin (9002-71-5) ; Thyroglobulin (9010-34-8) ; Thyroxine (Q51BO43MG4) |
Language | English |
Publishing date | 2022-04-11 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1028123-x |
ISSN | 1873-4499 ; 0899-7071 |
ISSN (online) | 1873-4499 |
ISSN | 0899-7071 |
DOI | 10.1016/j.clinimag.2022.04.003 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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