Follow up approaches in thyroid cancer: A risk adapted paradigm Journal Article
| Authors: | Tuttle, R. M.; Leboeuf, R. |
| Article Title: | Follow up approaches in thyroid cancer: A risk adapted paradigm |
| Abstract: | The primary goal in the follow up of thyroid cancer patients is to identify and treat persistent and recurrent disease at a time that minimizes morbidity and disease specific mortality. This article presents a risk-adapted follow-up paradigm to guide both intensity and methodology of follow-up testing based on initial risk stratification, ongoing risk stratification, and secondary risk stratification that incorporates each of the well-known risk factors for recurrence and death from thyroid cancer, with a response to therapy variable as well as duration of disease-free survival. With a proper understanding of the biology of the disease and with accurate assessments of response to therapy, clinicians are better able to tailor a risk-appropriate follow-up approach to individual patients, minimizing excessive testing while still providing adequate testing to detect clinically significant disease recurrence in a timely fashion. © 2008 Elsevier Inc. All rights reserved. |
| Keywords: | cancer survival; survival analysis; review; cancer recurrence; united states; cancer staging; follow up; follow-up studies; neoplasm recurrence, local; risk factors; health survey; algorithms; risk factor; cancer mortality; radioactive iodine; echography; computer assisted emission tomography; thyroidectomy; thyroid cancer; thyroid neoplasms; thyroglobulin; population surveillance; thyrotropin |
| Journal Title: | Endocrinology and Metabolism Clinics of North America |
| Volume: | 37 |
| Issue: | 2 |
| ISSN: | 0889-8529 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2008-06-01 |
| Start Page: | 419 |
| End Page: | 435 |
| Language: | English |
| DOI: | 10.1016/j.ecl.2008.02.008 |
| PUBMED: | 18502335 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 16" - "Export Date: 17 November 2011" - "CODEN: ECNAE" - "Source: Scopus" |
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