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转移性髓样甲状腺癌和未分化甲状腺癌与血清甲状腺球蛋白水平升高无关。

Metastatic medullary and undifferentiated thyroid cancers are not associated with elevated levels of serum thyroglobulin.

作者信息

Pacini F, Lari R, Taddei D, Grasso L, Martino E, Baschieri L, Pinchera A

出版信息

Tumori. 1984 Oct 31;70(5):417-9. doi: 10.1177/030089168407000505.

DOI:10.1177/030089168407000505
PMID:6506226
Abstract

It is now well accepted that serum thyroglobulin (Tg) determination is a specific marker of disease activity in well-differentiated thyroid cancer after total thyroidectomy. In this study we examined 15 thyroidectomized patients with metastases from medullary thyroid cancer and 10 patients with metastases from undifferentiated thyroid cancer, to determine whether serum Tg measurement could be useful also in these types of thyroid tumors. In contrast with differentiated thyroid cancer, which had high levels of circulating serum Tg, patients with medullary and undifferentiated thyroid cancer had undetectable or low levels of serum Tg. Thus, serum Tg measurements are not useful in the diagnosis of metastatic disease in these patients.

摘要

目前人们普遍认为,在全甲状腺切除术后,血清甲状腺球蛋白(Tg)测定是分化型甲状腺癌疾病活动的特异性标志物。在本研究中,我们检查了15例甲状腺髓样癌转移的甲状腺切除患者和10例未分化甲状腺癌转移的患者,以确定血清Tg测量在这些类型的甲状腺肿瘤中是否也有用。与循环血清Tg水平较高的分化型甲状腺癌不同,甲状腺髓样癌和未分化甲状腺癌患者的血清Tg水平检测不到或很低。因此,血清Tg测量对这些患者转移性疾病的诊断没有帮助。

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Metastatic medullary and undifferentiated thyroid cancers are not associated with elevated levels of serum thyroglobulin.转移性髓样甲状腺癌和未分化甲状腺癌与血清甲状腺球蛋白水平升高无关。
Tumori. 1984 Oct 31;70(5):417-9. doi: 10.1177/030089168407000505.
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Clin Endocrinol (Oxf). 1987 Jul;27(1):115-20. doi: 10.1111/j.1365-2265.1987.tb00846.x.

引用本文的文献

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Markedly elevated thyroglobulin levels in the preoperative thyroidectomy patient correlates with metastatic burden.术前甲状腺切除术患者中明显升高的甲状腺球蛋白水平与转移负担相关。
J Surg Res. 2014 Mar;187(1):1-5. doi: 10.1016/j.jss.2013.12.017. Epub 2013 Dec 18.