Management of medullary thyroid cancer based on variation of carcinoembryonic antigen and calcitonin

被引:5
作者
Wang, Bo [1 ]
Huang, Jie [2 ]
Chen, Li [3 ]
机构
[1] Tianjin Med Univ Gen Hosp, Dept Paediat Surg, Tianjin, Peoples R China
[2] Tianjin Med Univ Gen Hosp, Dept Resp & Crit Care Med, Tianjin, Peoples R China
[3] Ludwig Maximilian Univ Munich, Klinikum Univ Munchen, Med Klin & Poliklin 4, Munich, Germany
关键词
medullary thyroid carcinoma (MTC); carcinoembryonic antigen (CEA); calcitonin (Ctn); perioperative management; follow-up; SERUM CALCITONIN; POSTOPERATIVE CALCITONIN; NEUROENDOCRINE TUMOR; SURGICAL-MANAGEMENT; RISK STRATIFICATION; CLINICAL CHALLENGES; ROUTINE MEASUREMENT; BASAL CALCITONIN; FREE SURVIVAL; CARCINOMA;
D O I
10.3389/fendo.2024.1418657
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Carcinoembryonic antigen (CEA) and calcitonin (Ctn) are pivotal biomarkers in the diagnosis and management of medullary thyroid carcinoma (MTC). However, their diagnostic reliability in perioperative period remains a topic of ongoing debate. This review synthesizes researches on perioperative fluctuations in CEA and Ctn levels, and evaluates the impact of their different combinations on MTC diagnosis, treatment decisions, and prognosis. Our findings highlight it is crucial to understand and interpret the various combinations of CEA and Ctn fluctuations within a clinical context. Furthermore, to reduce diagnostic errors and improve patient outcomes, we recommend follow-up diagnostic and treatment protocols designed to address the potential pitfalls associated with the use of these biomarkers.
引用
收藏
页数:11
相关论文
共 121 条
[21]   Diagnostic performance of MRI to detect metastatic cervical lymph nodes in patients with thyroid cancer: a systematic review and meta- analysis [J].
Cho, S. J. ;
Suh, C. H. ;
Baek, J. H. ;
Chung, S. R. ;
Choi, Y. J. ;
Lee, J. H. .
CLINICAL RADIOLOGY, 2020, 75 (07) :562.e1-562.e10
[22]   Clinical outcomes of patients with hypercalcitoninemia after initial treatment for medullary thyroid cancer and postoperative serum calcitonin cutoffs for predicting structural recurrence [J].
Cho, Yoon Young ;
Jang, Hye Won ;
Jang, Ju Young ;
Kim, Tae Hyuk ;
Choe, Jun-Ho ;
Kim, Jung-Han ;
Kim, Jee Soo ;
Kim, Sun Wook ;
Chung, Jae Hoon .
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2016, 38 (10) :1501-1508
[23]   F-18 FDG PET detection of a medullary thyroid carcinoma in a patient with metastatic colonic cancer; literature review [J].
Cohen, R. ;
Bihan, H. ;
des Guetz, G. ;
Wind, P. ;
Martin, A. .
ANNALES D ENDOCRINOLOGIE, 2009, 70 (06) :468-472
[24]   Predictive value of serum calcitonin levels for preoperative diagnosis of medullary thyroid carcinoma in a cohort of 5817 consecutive patients with thyroid nodules [J].
Costante, Giuseppe ;
Meringolo, Domenico ;
Durante, Cosimo ;
Bianchi, Davide ;
Nocera, Maria ;
Tumino, Salvatore ;
Crocetti, Umberto ;
Attard, Marco ;
Maranghi, Marianna ;
Torlontano, Massimo ;
Filetti, Sebastiano .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2007, 92 (02) :450-455
[25]   Rare presentation of occult medullary carcinoma of the thyroid as a mediastinal mass [J].
Daraki, Vasiliki ;
Koukouraki, Sofia ;
Velegrakis, George ;
Mamalaki, Evangelia ;
Haniotis, Vrettos T. ;
Kalikakis, George ;
Stathaki, Maria I. ;
Karkavitsas, Nikos ;
Papavasiliou, Stathis S. .
HORMONES-INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM, 2012, 11 (02) :210-214
[26]   Normal perioperative serum calcitonin levels in patients with advanced medullary thyroid carcinoma: Case report and review of the literature [J].
Dora, Jose Miguel ;
Canalli, Maria Heloisa Busi da Silva ;
Capp, Clarissa ;
Punales, Marcia Khaled ;
Vieira, Jose Gilberto H. ;
Maia, Ana Luiza .
THYROID, 2008, 18 (08) :895-899
[27]   German Association of Endocrine Surgeons practice guideline for the surgical management of malignant thyroid tumors [J].
Dralle, Henning ;
Musholt, Thomas J. ;
Schabram, Jochen ;
Steinmueller, Thomas ;
Frilling, Andreja ;
Simon, Dietmar ;
Goretzki, Peter E. ;
Niederle, Bruno ;
Scheuba, Christian ;
Clerici, Thomas ;
Hermann, Michael ;
Kussmann, Jochen ;
Lorenz, Kerstin ;
Nies, Christoph ;
Schabram, Peter ;
Trupka, Arnold ;
Zielke, Andreas ;
Karges, Wolfram ;
Luster, Markus ;
Schmid, Kurt W. ;
Vordermark, Dirk ;
Schmoll, Hans-Joachim ;
Muehlenberg, Reinhard ;
Schober, Otmar ;
Rimmele, Harald ;
Machens, Andreas .
LANGENBECKS ARCHIVES OF SURGERY, 2013, 398 (03) :347-375
[28]  
EMMERTSEN K, 1985, DAN MED BULL, V32, P1
[29]   Medullary thyroid cancer outcomes in patients with undetectable versus normalized postoperative calcitonin levels [J].
Fanget, F. ;
Demarchi, M. S. ;
Maillard, L. ;
Lintis, A. ;
Decaussin, M. ;
Lifante, J. C. .
BRITISH JOURNAL OF SURGERY, 2021, 108 (09) :1064-1071
[30]   Prevalence and Clinical Spectrum of Nonsecretory Medullary Thyroid Carcinoma in a Series of 839 Patients with Sporadic Medullary Thyroid Carcinoma [J].
Frank-Raue, Karin ;
Machens, Andreas ;
Leidig-Bruckner, Gudrun ;
Rondot, Susanne ;
Haag, Christine ;
Schulze, Egbert ;
Lorenz, Angela ;
Kreissl, Michael C. ;
Dralle, Henning ;
Raue, Friedhelm ;
Schmid, Kurt W. .
THYROID, 2013, 23 (03) :294-300