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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1987-2-19
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pubmed:abstractText |
The diagnostic accuracy of serum thyroglobulin (S-TG) determination as measured under endogenous thyrotropin(TSH)stimulation (ETS) has been investigated in 372 patients with completed therapy for differentiated thyroid cancer. In 51 of these (13.7%) S-TG could be detected by means of the IRMA-technique. In 34 S-TG determination was additionally performed during suppressive thyroxine therapy (SSH): S-TG in SSH was significantly lower as compared with S-TG in ETS (p less than 0.001). In seven cases with proven metastases S-TG values were pushed below the minimal detection level by SSH. Tumor manifestations with suppressible S-TG were significantly smaller (mean = 5 ccm, range 1-25 ccm) than those with non-suppressible S-TG (mean = 90 ccm, range 11-125 ccm, p less than 0.005) and displayed a papillary histology. There was a moderate correlation between S-TG concentration and tumor volume (r = 0.71; p less than 0.001). 21% (n = 66) of patients with undetectable S-TG in ETS showed 131I-uptake in the thyroid region; 2% (n = 7) had proven metastases. Sensitivity of S-TG determination for the detection of metastases amounted to 82.5% in ETS and 53.3% in SST, specificity was 94.6% in ETS and 99.7% in SST. It is concluded that small metastases of papillary thyroid carcinomas may escape S-TG screening more readily than follicular carcinoma metastases when S-TG concentrations are measured during thyroxine treatment.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0029-5566
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
194-200
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pubmed:dateRevised |
2007-1-12
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pubmed:meshHeading |
pubmed-meshheading:3797259-Adenocarcinoma,
pubmed-meshheading:3797259-Adult,
pubmed-meshheading:3797259-Aged,
pubmed-meshheading:3797259-Carcinoma, Papillary,
pubmed-meshheading:3797259-Combined Modality Therapy,
pubmed-meshheading:3797259-Female,
pubmed-meshheading:3797259-Humans,
pubmed-meshheading:3797259-Hypothyroidism,
pubmed-meshheading:3797259-Iodine Radioisotopes,
pubmed-meshheading:3797259-Male,
pubmed-meshheading:3797259-Middle Aged,
pubmed-meshheading:3797259-Neoplasm Metastasis,
pubmed-meshheading:3797259-Thyroglobulin,
pubmed-meshheading:3797259-Thyroid Neoplasms,
pubmed-meshheading:3797259-Thyrotropin,
pubmed-meshheading:3797259-Thyroxine
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pubmed:year |
1986
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pubmed:articleTitle |
[Serum thyroglobulin in the diagnosis of metastases of differentiated thyroid cancer. Effect of suppressive thyroid hormone substitution on the diagnostic accuracy of thyroglobulin values].
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pubmed:publicationType |
Journal Article,
English Abstract
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