Undetectable Serum Thyroglobulin in a Patient With Metastatic Follicular Thyroid Cancer

The case of a 54-year-old woman with metastatic follicular thyroid cancer and undetectable serum thyroglobulin is presented. Many years after the patient had a subtotal thyroidectomy for a large goiter that had no clear evidence of malignancy, metastatic bone disease developed. When the bone metasta...

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Veröffentlicht in:Clinical nuclear medicine 1999-05, Vol.24 (5), p.346-349
Hauptverfasser: MERTENS, ILSE J. R, DE KLERK, JOHN M. H, ZELISSEN, PIERRE M. J, THIJSSEN, JOS H. H, SIE-GO, DAISY M. D. S, HAN, SHIUW H, VAN RIJK, PETER P
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container_end_page 349
container_issue 5
container_start_page 346
container_title Clinical nuclear medicine
container_volume 24
creator MERTENS, ILSE J. R
DE KLERK, JOHN M. H
ZELISSEN, PIERRE M. J
THIJSSEN, JOS H. H
SIE-GO, DAISY M. D. S
HAN, SHIUW H
VAN RIJK, PETER P
description The case of a 54-year-old woman with metastatic follicular thyroid cancer and undetectable serum thyroglobulin is presented. Many years after the patient had a subtotal thyroidectomy for a large goiter that had no clear evidence of malignancy, metastatic bone disease developed. When the bone metastases were detected and during the follow-up period, serum thyroglobulin values remained undetectable, but radioiodine uptake in the metastases was abundant. This case indicates that the combination of I-131 scintigraphy and serum thyroglobulin values is superior to the measurement of serum thyroglobulin alone in detecting well-differentiated, metastatic thyroid cancer.
doi_str_mv 10.1097/00003072-199905000-00011
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subjects Adenocarcinoma, Follicular - diagnosis
Adenocarcinoma, Follicular - diagnostic imaging
Adenocarcinoma, Follicular - secondary
Biological and medical sciences
Bone Neoplasms - diagnosis
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - secondary
Endocrine glands. Genital system. Mammary gland
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Middle Aged
Radionuclide Imaging
Radionuclide investigations
Thyroglobulin - blood
Thyroid Neoplasms - pathology
title Undetectable Serum Thyroglobulin in a Patient With Metastatic Follicular Thyroid Cancer
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