Follow-up and management of differentiated thyroid carcinoma: a European perspective in clinical practice

被引:73
作者
Schlumberger, M
Pacini, F
Wiersinga, WM
Toft, A
Smit, JWA
Franco, FS
Lind, P
Limbert, E
Jarzab, B
Jamar, F
Duntas, L
Cohen, O
Berg, G
机构
[1] Inst Gustave Roussy, Nucl Med Serv, F-94805 Villejuif, France
[2] Univ Siena, I-53100 Siena, Italy
[3] Univ Amsterdam, Acad Med Ctr, NL-1105 AZ Amsterdam, Netherlands
[4] Royal Infirm Edinburgh NHS Trust, Edinburgh, Midlothian, Scotland
[5] Leiden Univ, Ctr Med, Leiden, Netherlands
[6] Hosp Carlos III, Madrid, Spain
[7] Positron Emiss Tomog Ctr, Klagenfurt, Austria
[8] Portuguese Canc Inst, Lisbon, Portugal
[9] Marie Curie Sklodowska Mem Inst, Gliwice, Poland
[10] Univ Louvain, Sch Med, Brussels, Belgium
[11] Evgenidion Hosp, Athens, Greece
[12] Chaim Sheba Med Ctr, IL-52621 Tel Hashomer, Israel
[13] Sahlgrens Univ Hosp, S-41345 Gothenburg, Sweden
关键词
D O I
10.1530/eje.0.1510539
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
As differentiated (follicular and papillary) thyroid cancer (DTC) may recur years after initial treatment, follow-up of patients with DTC is long term. However, this population has changed, with more individuals being discovered at an earlier stage of disease, so that previous follow-up protocols based mostly on data from high-risk patients no longer apply We have proposed, in a previous issue of this journal, an improved protocol for the follow-up of low-risk patients with DTC based on the findings of recent studies. We report here the case of a paradigmatic patient with papillary thyroid carcinoma, with the goal of illustrating the benefits of applying this algorithm in routine clinical practice. We also offer expanded and additional comments on various issues in the management of DTC.
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收藏
页码:539 / 548
页数:10
相关论文
共 47 条
[1]  
American Joint Committee on Cancer - Thyroid, 2002, AJCC CANC STAG HDB, P89
[2]  
[Anonymous], 2003, Thyroid Tumors
[3]   Relationship between tumor burden and serum thyroglobulin level in patients with papillary and follicular thyroid carcinoma [J].
Bachelot, A ;
Cailleux, AF ;
Klain, M ;
Baudin, E ;
Ricard, M ;
Bellon, N ;
Caillou, B ;
Travagli, JP ;
Schlumberger, M .
THYROID, 2002, 12 (08) :707-711
[4]   Radioiodine dose for remnant ablation in differentiated thyroid carcinoma: A randomized clinical trial in 509 patients [J].
Bal, CS ;
Kumar, A ;
Pant, GS .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (04) :1666-1673
[5]   FACTORS AFFECTING SUPPRESSION OF ENDOGENOUS THYROTROPIN SECRETION BY THYROXINE TREATMENT - RETROSPECTIVE ANALYSIS IN ATHYREOTIC AND GOITROUS PATIENTS [J].
BARTALENA, L ;
MARTINO, E ;
PACCHIAROTTI, A ;
GRASSO, L ;
AGHINILOMBARDI, F ;
BURATTI, L ;
BAMBINI, G ;
BRECCIA, M ;
PINCHERA, A .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1987, 64 (04) :849-855
[6]   Positive predictive value of serum thyroglobulin levels, measured during the first year of follow-up after thyroid hormone withdrawal, in thyroid cancer patients [J].
Baudin, E ;
Do Cao, C ;
Cailleux, AF ;
Leboulleux, S ;
Travagli, JP ;
Schlumberger, M .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (03) :1107-1111
[7]   Radioiodine ablation and therapy in differentiated thyroid cancer under stimulation with recombinant human thyroid-stimulating hormone [J].
Berg, G ;
Lindstedt, G ;
Suurküla, M ;
Jansson, S .
JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION, 2002, 25 (01) :44-52
[8]   Effects of subclinical thyroid dysfunction on the heart [J].
Biondi, B ;
Palmieri, EA ;
Lombardi, G ;
Fazio, S .
ANNALS OF INTERNAL MEDICINE, 2002, 137 (11) :904-914
[9]   Is diagnostic iodine-131 scanning useful after total thyroid ablation for differentiated thyroid cancer? [J].
Cailleux, AF ;
Baudin, E ;
Travagli, JP ;
Ricard, M ;
Schlumberger, M .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2000, 85 (01) :175-178
[10]   Recombinant human thyrotropin stimulation of fluoro-D-glucose positron emission tomography uptake in well-differentiated thyroid carcinoma [J].
Chin, BB ;
Patel, P ;
Cohade, C ;
Ewertz, M ;
Wahl, R ;
Ladenson, P .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (01) :91-95